Physiotherapists' perceptions of workplace competency: a mixed-methods observational study

Objectives Workplace-based competency is increasingly considered fundamental to patient safety and quality healthcare. The aim of the present study was to identify and describe physiotherapists’ perceptions of workplace competency. Methods The present study was a mixed-methods cross-sectional observational study. Thematic and descriptive analysis of qualitative and survey data were undertaken. Forty-six physiotherapists employed at a metropolitan acute public hospital participated in interviews or focus groups; a subgroup of 31 participants also completed an online survey. Results Five main themes were identified: (1) despite the availability of workplace learning opportunities and supports, less-experienced staff reported limited confidence; (2) assessment and feedback around workplace competency was limited, predominantly informal and unstructured, with less than half of the cohort (42%) agreeing feedback received was useful for improving their workplace skills; (3) practicing within individual scope is an important aspect of workplace competency as a physiotherapist; (4) most (81%) agreed it was important for them to self-determine their learning and development goals, and they relied primarily on informal discussion to achieve these goals; and, (5) physiotherapists felt motivated regarding workplace learning, with 97% interested in developing their workplace skills however, nearly half (45%) did not feel they had sufficient time to do so. Conclusions The perceptions of physiotherapists working in a metropolitan acute public hospital are reflected in five themes. These themes elucidate how workplace competency is supported, maintained and developed among physiotherapists in this setting. These themes also highlight key challenges of workplace learning faced by this cohort of physiotherapists and allude to methods that may assist with improving feedback mechanisms and knowledge acquisition. What is known about this topic? Studies investigating employee perceptions around workplace competency, knowledge, skills and learning are found across a range of industries. Workplace-based competency is increasingly considered fundamental to patient safety and quality health care. There is little known about physiotherapists’ perceptions of workplace competency. What does this paper add? This study has identified and described themes around physiotherapists’ perceptions of their workplace knowledge and skills. What are the implications for practitioners? The themes identified provide support for the development, implementation and evaluation of a workplace-based competency framework for physiotherapists.

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Profilaxia Pré-Exposição para o Vírus da Imunodeficiência Humana no Currículo Médico em Portugal: Uma Análise Transversal

Acta Médica Portuguesa ◽

10.20344/amp.15446 ◽

2022 ◽

Vol 35 (13) ◽

Author(s):

Francisco Duarte ◽

Nuno Rua ◽

David Gomes ◽

Vasco Ricoca Peixoto ◽

Daniela Azevedo ◽

...

Keyword(s):

Medical Students ◽

Online Survey ◽

Descriptive Analysis ◽

Medical Schools ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

School Year ◽

Exposure Prophylaxis

Introduction: Pre-exposure prophylaxis (PrEP) has gained relevance as a method of prevention for HIV in certain people and settings. Following the publication of the guideline on PrEP prescribing in Portugal, we aimed to assess the knowledge of Portuguese Medical Students about PrEP.Material and Methods: An online survey was sent to Medical students of Portuguese Medical Schools. We conducted a descriptive analysis of the results and an analytic cross-sectional study to identify factors associated with “knowing about PrEP”, “having had one class about PrEP” and “identifying eligible groups correctly”.Results: Of the 796 students that responded to the survey, 64.6% were aware of what PrEP is. Of these, 34.44% acquired this knowledge during their training. Out of the total amount of respondents, 4.77% could identify correctly and completely the eligible groups for PrEP. As the training years went by, the probability of being aware of PrEP, having had one class about PrEP, and identifying the eligible groups correctly, increased. Of the sixth-year students, 43.48% had had one class about PrEP and among the students that were aware of PrEP, 28% identified what the eligible groups were. After adjusting for the school year, we found differences between Medical Schools regarding the outcomes. The association between the different ways of learning about PrEP and the ability to correctly identify eligible groups for PrEP was not statistically significant.Conclusion: The differences between Medical Schools could be harmonized through changes in the medical curricula that would allow this topic to be addressed more often.

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Homoprejudiced violence among Chinese men who have sex with men: A cross-sectional analysis in Guangzhou, China

10.21203/rs.2.19394/v2 ◽

2020 ◽

Author(s):

Dan Wu ◽

Eileen Yang ◽

Wenting Huang ◽

Weiming Tang ◽

Huifang Xu ◽

...

Keyword(s):

Sexual Orientation ◽

Online Survey ◽

Descriptive Analysis ◽

Strong Association ◽

Public Health Issue ◽

Marriage Education ◽

Cross Sectional ◽

Cyber Aggression ◽

Sex With Men ◽

Sectional Analysis

Abstract Background Homoprejudiced violence, defined as physical, verbal, psychological and cyber aggression against others because of their actual or perceived sexual orientation, is an important public health issue. Most homoprejudiced violence research has been conducted in high-income countries. This study aimed to examine the experience and perpetration of homoprejudiced violence among men who have sex with men (MSM) in Guangzhou, China. Methods MSM in a large Chinese city, Guangzhou, completed an online survey instrument that was distributed through community-based organizations. Descriptive analysis was conducted to describe the sample characteristics. Multivariable logistic regression analyses, controlling for age, residence, occupation, heterosexual marriage, education and income, were carried out to explore associated factors. Results A total of 777 responses were analyzed and most (64.9%) were under the age of 30. Three-hundred-ninety-nine (51.4%) reported experiencing homoprejudiced violence, while 205 (25.9%) reported initiating homoprejudiced violence against others. Compared to respondents who self-identified as gay, respondents who were heterosexual were 0.6 times (AOR=0.6, 95% CI: 0.4-0.9) as likely to have experienced homoprejudiced violence, whereas those who were unsure about their sexual orientation were 2.6 times (AOR=2.6, 95% CI: 1.2-5.5) more likely to have experienced homoprejudiced violence before. Furthermore, a strong association (AOR=2,4. 95% CI: 1.6-3.5) was identified between experiencing homoprejudiced violence and initiating violence. MSM who had disclosed their sexual orientation to people other than their partners were more likely to have experienced homoprejudiced violence (AOR=1.8, 95% CI:1.3-2.5). Conclusions These findings suggest the importance of research and the implementation of interventions focused on preventing and mitigating the effects of homoprejudiced violence affecting MSM in China.

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AISLAMIENTO POR COVID-19 EN EL AMBA Y EN EL RESTO DEL PAÍS: ESTUDIO TRANSVERSAL DE CAMBIOS EN HÁBITOS Y ESTILO DE VIDA

Actualización en Nutrición ◽

10.48061/san.2021.22.4.117 ◽

2021 ◽

Vol 22 (4) ◽

Author(s):

Jorge F. Elgart ◽

◽

Luis Flores ◽

Analía G. Abraham ◽

Graciela L. Garrote ◽

...

Keyword(s):

Physical Activity ◽

Online Survey ◽

Eating Habits ◽

Descriptive Analysis ◽

Caloric Intake ◽

Nonparametric Tests ◽

Cross Sectional ◽

Healthy Habits ◽

Obesity And Diabetes ◽

Desire To Eat

ABSTRACT Introduction: the confinement imposed to reduce the spread of COVID-19 induces changes in habits and unhealthy lifestyles. Objectives: to verify changes associated with confinement in eating habits and lifestyle in the Argentine population and their differences between the metropolitan area of Buenos Aires (AMBA) and the rest of the country. Materials and methods: cross-sectional, descriptive, and analytical study, through an “online” survey (December 2020) carried out on adults residing in Argentina. Age, gender and place of residence were surveyed, as well as the changes registered regarding weight, eating habits, physical activity, desire to eat and quality of sleep. A descriptive analysis of the valid surveys received (N=1,536) was carried out, verifying differences between the regions using parametric and nonparametric tests, considering significant p<0.05. Results: 75.1% of the participants were women (38.8±13.1 years), 60.5% from the AMBA and 39.5% from the rest of the country. Isolation was associated with changes that impacted on the psychological, stress, healthy habits, and sleep, with some significant regional differences. However, the common end result between AMBA and the rest of the country was the greater increase in caloric intake and the decrease in physical activity that led to 39.7% of the participants increasing their weight (mean 4.8±2,8 kg). Conclusions: isolation was associated with undesirable side effects, which could be diminished through the virtual promotion of healthy habits that would simultaneously decrease the growth of obesity and diabetes. Key words: COVID-19; social isolation; eating habits; lifestyle; physical activity.

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Family medicine physicians’ report strong support, barriers and preferences for Registered Dietitian Nutritionist care in the primary care setting

Family Practice ◽

10.1093/fampra/cmaa099 ◽

2020 ◽

Author(s):

Lauren R Sastre ◽

Leslie T Van Horn

Keyword(s):

Family Medicine ◽

Online Survey ◽

Interprofessional Collaboration ◽

Health Care Systems ◽

Descriptive Analysis ◽

Strong Support ◽

Full Time ◽

Registered Dietitian ◽

Cross Sectional ◽

Care Systems

Abstract Background Previous studies have examined barriers (e.g. time) for Family Medicine Providers (FMPs) to provide nutrition and lifestyle counseling, however, to date no studies have examined access or interest to Registered Dietitian Nutritionist (RDN) care for patients. Objective The objective of this study was to explore FMP access, referral practices, barriers and preferences for RDN care. Methods A cross-sectional online survey, with content and face validation was conducted with Family Medicine Departments within large academic health care systems in the Southeastern United States. The main variables of interest included: FMP access, interest, current referrals and referral preferences for RDN care, barriers to referrals and overall perceptions regarding RDN care. Descriptive analysis of close-ended responses was performed with SPSS 26.0. Open-ended responses were analysed using inductive content analysis. Results Over half of the respondents (n = 151) did not have an RDN on-site (64%) yet were highly interested in integrating an RDN (94.9%), with reported preferences for full-time on-site, part-time on-site or off-site RDN care (49.1%, 39.5% and 11.4% respectively). The greatest reported barriers to RDN referrals were perceived cost for the patient (64.47%) and uncertainty how to find a local RDN (48.6%). The most consistent theme reported in the open-ended responses were concerns regarding reimbursement, e.g. ‘Insurance does not cover all of the ways I would like to use an RDN’. Conclusions FMPs report interest and value in RDN services despite multiple perceived barriers accessing RDNs care. Opportunities exist for interprofessional collaboration between dietetic and FMP professional groups to address barriers.

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An Assessment of Promotion of MyPlate and Health Screening in Food Pantries Using Mixed Methods (P04-062-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz051.p04-062-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Ashley Coram ◽

Alison Wheeler ◽

Debra Krummel ◽

Seung-Yeon Lee

Keyword(s):

Mixed Methods ◽

Online Survey ◽

Cross Sectional Study ◽

Health Screening ◽

Food Groups ◽

Cross Sectional ◽

Community Assets ◽

Food Pantries ◽

Health Screenings ◽

A Priority

Abstract Objectives The objective of this study was to assess the promotion of MyPlate and the level of interest by pantry coordinators in offering health screenings to their clients at food pantries. Methods A cross-sectional study was conducted using mixed methods of survey and an observational checklist. The online survey was completed by 31 coordinators at urban food pantries using REDCapTM (version 8.1.2)(56.4% response rate). Ten food pantries were observed for organization of food, shelf labeling, MyPlate promotional items, and spaces for health screenings and group/individual education. Descriptive statistics were completed using Microsoft Excel. Results Less than two thirds (61.3%) were choice food pantries and 32.5% organized food by food groups. About half of coordinators rated encouraging MyPlate as high (22.6%) or medium (32.2%) priority. Few (22.6%) promoted MyPlate to their clients, mainly through pamphlets and posters. One third of coordinators encouraged volunteers to provide nutrition information to clients. While one pantry currently provided nutrition training for volunteers, 26% were interested in future training for volunteers. Even though more than half of food pantry coordinators were very (29%) or somewhat (25.8%) interested in providing health screenings to their clients, only 19.3% currently provided onsite blood pressure screening. Barriers included the lack of professional/trained volunteers, space, and funding for equipment. Findings from the observations showed the organization of foods differed by available space and distribution methods in food pantries and no pantries separated food by alternative options (e.g., regular vs. reduced sodium, reduced fat). In addition, the findings confirmed the promotion methods of MyPlate and limited space for health screening from the survey. Conclusions While promoting MyPlate was a priority at most food pantries, few pantries promoted MyPlate. Health screenings were also a priority but could not be actualized due to resource barriers. Exploration of community assets and resources and establishing collaborations with local clinics and academia may be the next step to overcome the barriers. Funding Sources College of Allied Health Sciences, University of Cincinnati.

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OP154 Industry And Clinician Views Of Medtech Innovation Briefings

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462318001630 ◽

2018 ◽

Vol 34 (S1) ◽

pp. 56-56

Author(s):

Alexia Campbell Burton ◽

Harriet Unsworth

Keyword(s):

Future Development ◽

Online Survey ◽

Descriptive Analysis ◽

Cross Sectional ◽

Treatment Pathway ◽

Published Evidence ◽

Raising Awareness ◽

Additional Group ◽

Diagnostic Technologies ◽

Simultaneous Assessment

Introduction:The National Institute for Health and Care Excellence Medtech Innovation Briefings (MIBs) are commissioned by the National Health Service (NHS) England and designed to support NHS and social care commissioners and staff who are considering using new medical devices and other medical, digital or diagnostic technologies. MIBs are fast flexible summaries of single technologies that are intended to be responsive to commissioners needs for information about innovative technologies. MIBs include a description of the technology, how it is used and its potential role in the treatment pathway. They also include a review of relevant published evidence and likely costs. As a relatively new product, the format of MIBs continues to evolve and in 2016 a more streamlined evaluation template was introduced. To ensure MIBs continue to meet users’ needs, a study was conducted to understand the opinions and requirements of core stakeholders and to identify key areas for future development.Methods:An initial cross-sectional online survey with NHS staff who were potential users of MIBs was carried out in December 2015. A second round of online and mail-out surveys were circulated between November 2016 and May 2017 to medical technology manufactures and an additional group of NHS staff. Descriptive analysis was used for all quantitative data and qualitative data was summarized using thematic analysis.Results:Thirty-nine medical professionals and fourty-two manufacturer representatives participated in the surveys. More than half of clinicians were aware of MIBs and thought that raising awareness and visibility should be a future priority. Manufactures regarded MIBs as having a positive or mixed impact on innovation, access, or uptake by the healthcare system.Conclusions:Stakeholders are using MIBs in a variety of ways and there was and a range of suggestions for their future development particularly regarding moving from single technology evaluation to simultaneous assessment of similar technologies.

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A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice

BMJ Open ◽

10.1136/bmjopen-2015-009079 ◽

2015 ◽

Vol 5 (12) ◽

pp. e009079 ◽

Cited By ~ 22

Author(s):

Andrew Carson-Stevens ◽

Peter Hibbert ◽

Anthony Avery ◽

Amy Butlin ◽

Ben Carter ◽

...

Keyword(s):

General Practice ◽

Patient Safety ◽

Mixed Methods ◽

Study Protocol ◽

Mixed Methods Study ◽

Cross Sectional ◽

Patient Safety Incidents

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Barriers to Implementing a Reporting and Learning Patient Safety System

Journal of Evidence-Based Complementary & Alternative Medicine ◽

10.1177/2156587215609191 ◽

2015 ◽

Vol 21 (2) ◽

pp. 105-109 ◽

Cited By ~ 1

Author(s):

Katherine A. Pohlman ◽

Linda Carroll ◽

Lisa Hartling ◽

Ross T. Tsuyuki ◽

Sunita Vohra

Keyword(s):

Patient Safety ◽

Online Survey ◽

Time Pressure ◽

Learning System ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Survey Tool ◽

Safety Awareness ◽

Safety Studies ◽

Patient Concerns

A reporting and learning system is a method of monitoring the occurrence of incidents that affect patient safety. This cross-sectional survey asked pediatric chiropractors about factors that may limit their participation in such a system. The list of potential barriers for participation was developed using a systematic approach. All members of the 2 pediatric councils associated with US national chiropractic organizations were invited to complete the survey (N = 400). The cross-sectional survey was created using an online survey tool (REDCap) and sent directly to member emails addressed by the respective executive committees. Of the 400 potential respondents, 81 responded (20.3%). The most common limitations to participating were identified as time pressure (96%) and patient concerns (81%). Reporting and learning systems have been utilized to increase safety awareness in many high-risk industries. To be successful, future patient safety studies with pediatric chiropractors need to ensure these barriers are understood and addressed.

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Handover de enfermagem em clínicas cirúrgicas: a interface entre a comunicação e a segurança do paciente [Nursing shift handover in surgical clinics: the interface between communication and patient safety] [Traspaso de turnos de enfermería en clínicas quirúrgicas: la interfaz entre la comunicación y la seguridad del paciente]

Revista Enfermagem UERJ ◽

10.12957/reuerj.2020.48402 ◽

2020 ◽

Vol 28 ◽

pp. e48402

Author(s):

Vanessa Guimarães Telles ◽

Cintia Silva Fassarella ◽

Rafael Celestino Silva ◽

Priscila Francisca Almeida ◽

Flavia Giron Camerini

Keyword(s):

Patient Safety ◽

Observational Study ◽

Descriptive Analysis ◽

Nursing Personnel ◽

University Hospital ◽

Missing Information ◽

Factors Affecting ◽

Nursing Teams

Objetivo: identificar os fatores que interferem na comunicação entre as equipes de enfermagem durante o handover de troca de turno em clínicas cirúrgicas, e sua interface com a segurança do paciente. Método: estudo quantitativo, observacional, com análise descritiva, realizado de abril a julho de 2019, por meio de um roteiro de observação e um formulário, em nove clínicas cirúrgicas de um hospital universitário. Resultados: observou-se 54 handovers e participaram 123 profissionais de enfermagem. Dentre os fatores analisados, destaca-se, a ausência de instrumento padronizado de handover (85,19%) e presença de ruídos sonoros (77,78%). A maioria dos participantes (86,93%) apontaram a omissão de informações, na transferência de cuidados, como o fator mais prejudicial para assistência. Conclusão: os fatores que interferiram na comunicação durante o handover foram: ruídos sonoros, omissão de informações, ausência de instrumento padronizado e atrasos dos profissionais. Acredita-se que a identificação desses fatores contribua para o desenvolvimento de melhores estratégias.ABSTRACTObjective: to identify factors affecting communication between nursing teams during shift handover on surgical wards, and how it interfaces with patient safety. Method: this quantitative, observational study, with descriptive analysis, was conducted on nine surgical wards of a university hospital from April to July 2019, using an observation script and record form. Results: 54 nursing shift handovers were observed, and 123 nursing personnel participated. Of particular note among the factors analyzed were absence of a standardized handover instrument (85.19%) and the presence of noise (77.78%). Most of the participants (86.93%) pointed to missing information at handover as the factor most prejudicial to care. Conclusion: the factors that interfered with communication during handover were: noise, omission of information, absence of a standardized instrument, and staff lateness. It is believed that identifying these factors will help develop better strategies.RESUMENObjetivo: identificar los factores que afectan la comunicación entre los equipos de enfermería durante la transferencia de turno en las salas quirúrgicas y cómo interactúa con la seguridad del paciente. Método: este estudio cuantitativo, observacional, con análisis descriptivo, se realizó en nueve salas quirúrgicas de un hospital universitario de abril a julio de 2019, utilizando un guión de observación y formulario de registro. Resultados: se observaron 54 traspasos de turno de enfermería y participaron 123 personal de enfermería. Entre los factores analizados destacan la ausencia de un instrumento de traspaso estandarizado (85,19%) y la presencia de ruido (77,78%). La mayoría de los participantes (86,93%) señaló la falta de información en la entrega como el factor más perjudicial para la atención. Conclusión: los factores que interfirieron en la comunicación durante el traspaso fueron: ruido, omisión de información, ausencia de instrumento estandarizado y tardanza del personal. Se cree que identificar estos factores ayudará a desarrollar mejores estrategias.

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THE IMPACT ANALYSIS OF MOTIVATION, TRAINING, AND WORK ENVIRONMENT TO NURSES PERFORMANCE IN PATIENT SAFETY

Journal of Economic Empowerment Strategy (JEES) ◽

10.30740/jees.v2i1.38 ◽

2019 ◽

Vol 2 (1) ◽

pp. 54

Author(s):

Fushen Fushen ◽

Meylona Verawaty Zendrato

Keyword(s):

Patient Safety ◽

Work Environment ◽

Public Hospital ◽

Impact Analysis ◽

Working Environment ◽

Cross Sectional ◽

The Public ◽

Increasing Demand ◽

And Performance ◽

The Impact

The development of hospitals in health industry as economic institutions and the establishment of many new hospitals increase the number of nurses needed while the number of nurses produced cannot keep pace with the increasing demand. In hospital services, nurse is the most frequently interacted person with patients and are fully responsible for patient care, including in terms of patient safety. This study aims to obtain empirical evidence about the effect of motivation, training and work environment on the performance of nurses in patient safety in the Public Hospital. Expected output from this study can be used as a reference to determine the policy for nurse management at the hospital. This is a correlational analytic study with a cross-sectional approach and descriptive method of verification. The research was conducted in a Public Hospital in Jakarta. The research sample are 90 nurses working in inpatient wards. The hypothesis of this study were analyzed with path analysis methods. The results of this study showed a significant positive effect between motivation and performance (20.7%), training and performance (21.8%), working environment and performance (20.7%), and the simultaneous influence from motivation, training, and working environment on the performance (63.2% ).

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