scholarly journals SP2.1.12Use of the eLogbook in surgical training in the United Kingdom: A nationwide survey and consensus recommendations from the Association of Surgeons in Training

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Andrew J Beamish ◽  
Mohamed Rabie ◽  
Maximilian j Johnston ◽  
Rhiannon L Harries ◽  
Helen Mohan ◽  
...  

Abstract Introduction Operative cases recording is essential to demonstrate experience. However, indicative numbers may incentivise overstatement or misrepresentation of experience. This study aimed to determine the perceptions of eLogbook use by UK trainees. Methods An anonymous online questionnaire was disseminated electronically using a yield-maximization strategy. Mixed methods evaluation of quantitative and qualitative data was used. Based on the results of this survey, a modified Delphi process was conducted within the Council of the Association of Surgeons in Training to develop recommendations for eLogbook improvement. Results Analysis included 906 complete responses (34.8% female) from all UK specialities and all training grades. More than two-thirds (68.5%) believed that overstatement of case involvement occurs and almost a third (32.7%) had witnessed overstatement. A fifth (20.8%) witnessed trainees logging cases not participated in, yet few (15.1%) had raised such an issue with a supervisor. Feeling pressured to overstate involvement and number recorded was reported by more than a quarter (28.6% and 28.1%) of respondents. Almost a third (31.5%) felt that indicative case numbers were not achievable. Female trainees were less likely to feel well supervised (p = 0.022) and to perceive targets for training completion were achievable (p = 0.005). Thematic analysis identified four key themes to explain logbook misuse: Pressure to achieve training milestones; eLogbook functionality issues; training deficiencies and probity. Conclusions Inaccurate operative recording was widely reported, largely in response to perceived pressure to achieve career progression targets. Operative logbooks may not be as accurate as intended. Consensus recommendations are made for improvement in the eLogbook and its use.

2019 ◽  
Vol 25 (1) ◽  
pp. 37 ◽  
Author(s):  
Lucie M. Ramjan ◽  
Sarah Fogarty

The therapeutic relationship plays a unique and pivotal role in the treatment and recovery of individuals with mental illness. The aim of the questionnaire was to understand clients’ perceptions of the factors affecting the formation of the therapeutic relationship during treatment or recovery from self-reported anorexia nervosa. Former or current individuals diagnosed with anorexia nervosa, 18 years and over, were invited to participate in an online questionnaire developed by the researchers. Eating disorder organisations in Australia and the United Kingdom advertised the study and provided the link to the online questionnaire. The questionnaire collected both quantitative and qualitative data, with quantitative data analysed using descriptive statistics and qualitative data using conventional content analysis. Findings revealed only 25% of participants (n=33) believed treatment providers listened and understood (to a great extent) their concerns during treatment and 30.08% (n=40) did not have sufficient trust or confidence in providers. The four qualitative themes identifying factors affecting therapeutic relationships are described. Healthcare providers working in acute and primary health settings should persevere with the development and maintenance of the therapeutic relationship in adults with anorexia nervosa. An investment in this relationship will be the catalyst driving motivation to change.


2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
A.J. Beamish ◽  
M Rabie ◽  
M.J. Johnston ◽  
D Nally ◽  
G Humm ◽  
...  

Abstract Background The utility of Workplace-Based Assessments (WBAs) in surgical training depends on the way they are completed. This study aims to ascertain the real-world usage of WBAs, as perceived by UK surgical trainees. Methods An anonymous national online questionnaire was conducted via the Association of Surgeons in Training (ASiT). The evaluation employed mixed methods to interpret quantitative and qualitative data. Suggestions for improvement were identified from free-text comments and considered through a formal two-round modified Delphi consensus process by ASiT council members. Results Analysis included 906 complete responses from all surgical specialities across all training levels. WBA use was perceived to deviate markedly from the Joint Committee on Surgical Training standards with significantly identified misuse across all surgical specialities. Inaccurate completion was acknowledged by 89.6% of respondents, and some trainers appear complicit with 40.9% of respondents aware of 'unobserved sign-off', and 33.6% aware of 'password disclosure' by trainers. Most trainees felt the Annual Review of Competency Progression (ARCP) respected WBA quantity above quality (55.4%), and a third felt pressure to overstate the number completed (32.0%). Main reasons for misuse were time restraints, lack of engagement and the will to achieve career progression targets. Conclusions UK surgical trainees perceive a significant deviation from WBAs standards due to multiple factors. The frequency and nature of misuse are worrying and undermines the existing evidence for the WBAs role in training. We present consensus recommendations from ASiT for the improvement of WBA use in UK surgical training.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 767
Author(s):  
Connie Lethin ◽  
Andrea Kenkmann ◽  
Carlos Chiatti ◽  
Jonas Christensen ◽  
Tamara Backhouse ◽  
...  

The COVID-19 pandemic has affected care workers all over the globe, as older and more vulnerable people face a high risk of developing severe symptoms and dying from the virus infection. The aim of this study was to compare staff experiences of stress and anxiety as well as internal and external organizational support in Sweden, Italy, Germany, and the United Kingdom (UK) in order to determine how care staff were affected by the pandemic. A 29-item online questionnaire was used to collect data from care staff respondents: management (n = 136), nurses (n = 132), nursing assistants (n = 195), and other healthcare staff working in these organizations (n = 132). Stress and anxiety levels were highest in the UK and Germany, with Swedish staff showing the least stress. Internal and external support only partially explain the outcomes. Striking discrepancies between different staff groups’ assessment of organizational support as well as a lack of staff voice in the UK and Germany could be key factors in understanding staff’s stress levels during the pandemic. Structural, political, cultural, and economic factors play a significant role, not only factors within the care organization or in the immediate context.


2020 ◽  
Vol 27 (4) ◽  
pp. 1-13
Author(s):  
Heather Stewart ◽  
Deborah Wisby ◽  
Hazel Roddam

Background/aims Intrinsic and extrinsic factors influence physiotherapists’ participation in continuing professional development. A number of benefits of and barriers to participation in continuing professional development are identified in the literature, but relatively little is known about factors that influence attitudes towards continued learning. The aim of this study was to identify factors influencing UK physiotherapists’ attitudes towards continuing professional development, with a focus on career point and type of employment, in the context of motivational theories. Methods An online questionnaire consisting of Likert-style questions was used to collect data from UK physiotherapists. Nominal and ordinal data were analysed to determine differences between subgroups within the dataset. Results A total of 205 physiotherapists completed the online questionnaire. Physiotherapists were generally internally motivated towards continuing professional development, but attitudes were influenced by career point and whether physiotherapists worked in the NHS or in the private sector. External factors appeared to have a negative effect on motivation towards continuing professional development. Conclusion: Differences in attitudes at different points on the career path suggest that organisational structure may impede lifelong learning at some stages in career progression, while differences between those working privately and for the NHS may potentially reflect organisational differences between these types of employment.


Author(s):  
Kevin Filo ◽  
Millicent Kennelly ◽  
Richard J. Buning ◽  
Rana Sobh

Research into participatory sport event experiences and wellbeing outcomes has increased, however, much of this work explores Western contexts. The purpose of the current research is to examine the wellbeing outcomes related to sport event participation in Qatar, as well as how these outcomes differ across nationalities and by gender. An online questionnaire was administered to participants of the 2017 Ooredoo Doha Marathon (ODM) (N = 239). Inductive coding of responses to the open-ended items uncovered activation of relationships, meaning and accomplishment. The qualitative data revealed that event participation allowed participants to strengthen personal connections with others, fostered a sense of direction and allowed for goal setting among participants, and enabled participants to experience achievement. Meanwhile, generalized linear modelling revealed Qatari nationals and expats as well as males and females differentially reported wellbeing based on PERMA domains.


2018 ◽  
Vol 20 (2) ◽  
pp. 118-131 ◽  
Author(s):  
Paul Twose ◽  
Una Jones ◽  
Gareth Cornell

Introduction Across the United Kingdom, physiotherapy for critical care patients is provided 24 h a day, 7 days per week. There is a national drive to standardise the knowledge and skills of physiotherapists which will support training and reduce variability in clinical practice. Methods A modified Delphi technique using a questionnaire was used. The questionnaire, originally containing 214 items, was completed over three rounds. Items with no consensus were included in later rounds along with any additional items suggested. Results In all, 114 physiotherapists from across the United Kingdom participated in the first round, with 102 and 92 completing rounds 2 and 3, respectively. In total, 224 items were included: 107 were deemed essential as a minimum standard of clinical practice; 83 were not essential and consensus was not reached for 34 items. Analysis/Conclusion This study identified 107 items of knowledge and skills that are essential as a minimum standard for clinical practice by physiotherapists working in United Kingdom critical care units.


2008 ◽  
Vol 3 (4) ◽  
pp. 52
Author(s):  
Cari Merkley

A Review of: Shenton, Andrew K. “The Information-Seeking Problems of English High Schoolers Responding to Academic Information Need.” Library Review 57.4 (2008): 276-88. Objective – To investigate the information-seeking behaviour of high school students looking to meet school-related information needs. Design – Online questionnaire. Setting – A comprehensive, publically-funded high school in north-east England. Subjects – Seventy-seven high school students between the ages of 13 and 18 who responded to an online questionnaire that was distributed to the 900-1000 students enrolled at the institution. Methods – An invitation to participate in an online questionnaire was sent to all students at the high school in October, 2006, via e-mail. The total number of invitations sent was not indicated, although it is noted that current enrolment at the school is approximately 900-1000 students across years 9 to 13. In the e-mail, students were provided with a link to a questionnaire posted on the school’s intranet. The questionnaire consisted of six multiple-choice and three open-ended questions. Qualitative data gathered through an open-ended question about problems encountered when seeking information for school was manually coded, and forms the focus of this article. Main Results – Seventy-seven online questionnaires were completed by students between 31 October and 27 November 2006, when analysis of the data began. Of the 77 respondents, only 35 provided data on problems encountered when seeking information for their assignments. Most of the respondents in this group were in years nine, ten and eleven (ages 13-16), with only two in year 12 (16-17) and four in year 13 (17-18). Over half (19/35) of respondents were female. Forty remaining respondents either stated that they experienced no problems in finding the information they needed for school or did not answer the relevant question on the questionnaire. Two participants indicated that they did not have the information they needed to complete their schoolwork because they did not look for it. Over 20 distinct information-seeking problems were identified through inductive analysis of the qualitative data provided by 35 participants. Difficulties encountered in the search for information largely fell into four major categories: problems determining an appropriate search strategy; barriers posed by limited school resources or Internet filtering software; “process frustrations” (280) stemming from the perceived inadequacies of search engines, poorly designed Web sites, and missing or broken Web links; and, “shortcomings in the retrieved information” (281) in terms of relevance and accuracy. In addition, a small number of students either indicated that they had difficulty applying the information they found to the problem that prompted the search, or were concerned about copyright restrictions on how they could use the information. All but two of the problems reported by students related to information-seeking on the Web. The Web was the most popular source of information for students, with 71 out of 77 respondents listing it as one of the sources or the only source they consulted for school. Conclusion – The results suggest a need for information literacy instruction among high school students, with a particular focus on effective use of the Web. The author suggests that some of the students’ frustrations may have been due to an “over-reliance” on Web resources, and could have been avoided if they were educated in the use of additional types of tools (286). This reliance on Web search engines proved problematic when Web filters impeded the students’ academic research. Some of the problems reported by students in 2006 in the search for academic information were similar to those recounted by students in 1999-2000 for the author’s earlier fieldwork in the same geographic area, including concerns about the accuracy or lack of detail of some Web sources, difficulties identifying effective search terms, and barriers posed by Internet filters. Additional research is needed to determine whether students experience the same difficulties when searching for information to meet personal needs and interests as they do when they are searching for information at the behest of a teacher.


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