scholarly journals Identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the UK: a summative content analysis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Rebecca Rachael Lee ◽  
Janet E. McDonagh ◽  
Mark Connelly ◽  
Sarah Peters ◽  
Lis Cordingley
Keyword(s):  
Content Analysis ◽  
Healthcare Professionals ◽  
Occupational Therapists ◽  
Paediatric Rheumatology ◽  
Core Curricula ◽  
Starting Point ◽  
Patient Pain ◽  
Psychosocial Processes ◽  
The Uk ◽  
And Training

Abstract Background The curriculum for professionals working in paediatric rheumatology should include pain but it is unclear to what extent this currently occurs. The aim of this study was to identify pain-related curriculum content and the context in which pain is presented in educational and training documentation for healthcare professionals in this clinical speciality. Methods Core curricula documents from UK based professional organisations were identified in partnership with healthcare professionals. Documents were analysed using a summative content analysis approach. Key pain terms were quantified and weighted frequencies were used to explore narrative pain themes. Latent content was interpreted qualitatively to explore the context within which pain terms were positioned. Results Nine curriculum documents were identified and analysed from doctors, nurses, physiotherapists and occupational therapists specialising in paediatric rheumatology. Pain themes represented a mean percentage of 1.51% of text across all documents. Pain was rarely presented in the context of both inflammatory and non-inflammatory condition types despite being a common feature of each. Musculoskeletal pain was portrayed simply as a ‘somatic’ symptom, rather than as a complex phenomenon involving biological and psychosocial processes. Content around the assessment and management of pain was vague and inexplicit. Conclusion Current educational and training documentation in paediatric rheumatology do not include core pain topics. Curricula for these healthcare professionals would benefit from updates in contemporary pain theories and examples of in-context, evidence-based pain practices. This should be a priority starting point for optimising patient pain care in paediatric musculoskeletal healthcare.

scholarly journals POS1490-HPR “WHERE DOES IT HURT?”: IDENTIFYING PAIN CONTENT AND ITS CONTEXT WITHIN PAEDIATRIC AND ADOLESCENT RHEUMATOLOGY TRAINING

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1029.2-1030
Author(s):  
R. Lee ◽  
J. Mcdonagh ◽  
M. Connelly ◽  
S. Peters ◽  
L. Cordingley
Keyword(s):  
Nurse Practitioners ◽  
Royal College ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Occupational Therapists ◽  
Paediatric Rheumatology ◽  
British Society ◽  
Specific Content ◽  
Level 3 ◽  
Adolescent Rheumatology

Background:Complex pain symptoms present across a wide spectrum of long-term musculoskeletal conditions in paediatric rheumatology. Pain training should therefore be part of a core curriculum for the professionals working in this speciality, but it is unclear to what extent this is the case currently.Objectives:To identify the extent of pain-specific content included in the training of healthcare professionals in paediatric and adolescent rheumatology in the UK.Methods:A systematic search of documental data using key internet search engines was conducted using combinations of the following terms: ‘training’, ‘curriculum’, ‘competency’, ‘paediatric’, ‘adolescent’ and ‘rheumatology’. A targeted search of online content from the main professional organisations followed; doctors (Royal College of Paediatric and Child Health [RCPCH]), nurses (Royal College of Nursing [RCN]), physiotherapists (Chartered Society of Physiotherapy), occupational therapists (Royal College of Occupational Therapists) and psychologists (British Psychological Society). Documents from professional learned societies such as The British Society of Paediatric and Adolescent Rheumatology (BSPAR) and The Scottish Paediatric and Adolescent Rheumatology Network (SPARN) were also included. Document search strategies were designed by the authors in partnership with healthcare professionals. Data were extracted and analysed following a summative content analysis. Pain-related terms were quantified. Latent content was interpreted qualitatively to explore the context in which pain-related phrases were presented.Results:Nine documents were identified. Pain-related terms represented 0.17% of all words across texts (used 55 times in total). Most pain terms were found in documents aimed at doctors (n=40, 72.7%). Of the pain terms used, most were used in the context of referring to specific pain syndromes such as chronic regional pain, generalized idiopathic pain and pain amplification. Content around the assessment and management of pain was vague and no detail was given as to how health professionals should perform these tasks. There was no reference to pain intensity, location or emotion. There were several problematic conceptual issues in the way pain was presented, with pain mostly portrayed either in the context of inflammatory or non-inflammatory pain and rarely in the context of both. Musculoskeletal pain was also positioned as a ‘somatic’ symptom, potentially conveying an interpretation of pain as being psychologically mediated.Conclusion:Training for healthcare professionals in paediatric rheumatology would benefit from updates informed by contemporary pain theories and evidence-based practices. This is key to ensuring that children and young people with chronic pain receive effective pain care from tertiary care services focused on treating musculoskeletal disease.Table 1.Documents and pain terms identifiedProfessionTitleOrganisations, year.% of document covered by pain termsDoctorsGeneric syllabus level 1.RCPCH, 2018.0.14%DoctorsGeneric syllabus level 2.RCPCH, 2018.0.14%DoctorsGeneric syllabus level 3.RCPCH, 2018.0.06%DoctorsPaediatric rheumatology level 3.RCPCH, 2018.0.48%DoctorsCompetencies for the special interest module in paediatric rheumatologyRCPCH, 2014.0.43%NursesCompetencies for rheumatology nurses.RCN, 2020.0.05%NursesCompetencies for clinical nurse specialists/advanced nurse practitioners.BSPAR, 2014.0.29%NursesRole of the paediatric rheumatology nurse.SPARN, 2016.0%Allied Health Professionals (AHPs)Competencies for AHPsBSPAR, 2019.0.73%Disclosure of Interests:None declared

Vision for menopause care in the UK

2021 ◽  
Vol 27 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Heather Currie ◽  
Kathy Abernethy ◽  
Haitham Hamoda
Keyword(s):  
Special Interest ◽  
Healthcare Professionals ◽  
Accurate Information ◽  
Major Life ◽  
Care Programme ◽  
Multidisciplinary Education ◽  
Short And Long Term ◽  
The Uk ◽  
And Training

Menopause is a major life event affecting all women in a variety of ways, both short and long term. All women should have access to accurate information, available in all forms and through all recognised sources. All healthcare professionals should have a basic understanding of the menopause and know where to signpost women for advice, support and treatment whenever appropriate. Every primary care team should have at least one nominated healthcare professional with a special interest and knowledge in menopause. All healthcare professionals with a special interest in menopause should have access to British Menopause Society Menopause Specialists for advice, support, onward referral and leadership of multidisciplinary education. With the introduction of the comprehensive British Menopause Society Principles and Practice of Menopause Care programme, the society is recognised throughout the UK as the leading provider of certificated menopause and post reproductive health education and training for healthcare professionals. Restrictions imposed by the coronavirus pandemic have been a springboard for the British Menopause Society to bring innovations to the services provided for our membership and for healthcare professionals throughout the UK.

scholarly journals Multiculturalism in Healthcare: A Review of Current Research into Diversity Found in the Healthcare Professional Population and the Patient Population

2016 ◽  
Vol 4 (3) ◽  
pp. 112-119 ◽  
Author(s):  
Nicole Tan ◽  
Shuangyu Li
Keyword(s):  
Healthcare Professional ◽  
Healthcare Professionals ◽  
Healthcare Services ◽  
Small Sample ◽  
Culturally Competent ◽  
Barriers To Healthcare ◽  
The Uk ◽  
And Training ◽  
Improve Access ◽  
The Way

Culture plays a key role in the way health is perceived and the way healthcare is used. It has been seen that there are many barriers to accessing healthcare, particularly for those who come to the UK with a different background language, religion and healthcare structure. A literature review and content analysis has been performed using 60 articles, selected from the databases PubMed, Scopus and Web of Science, in order to expose how diverse the patient and healthcare professional population truly are, the number of barriers to healthcare and how one can improve access to become culturally competent. Although this is only a small sample of the material present, it is evident that at the present time physical amenities such as having a translator present, as well the training of the healthcare professionals to be able to make the most of the situation and see the patients in a holistic and biopsychosocial approach, reveal an important area to focus more on in practice as well as in research. Thus an increased availability of resources and training needs to be made available for both patients and healthcare professionals in order to ensure competence in accessing healthcare services

Biosolids management integrated into national organic resource strategies in the UK

2007 ◽  
Vol 2 (4) ◽  
Author(s):  
P.J. Matthews
Keyword(s):  
Customer Service ◽  
Food Processing ◽  
Special Treatment ◽  
Market Place ◽  
Playing Field ◽  
Municipal Compost ◽  
Starting Point ◽  
Organic Resource ◽  
The Uk ◽  
Organic Resources

There are many kinds of organic byproducts. They are potentially useful, but can be wasted and thrown away. One use for many of these products is as fertilisers and soil conditioners but they are managed and regulated separately. Customers are faced with choices of services and products. Examples are biosolids, municipal composts, food processing byproducts and farm yard manures. Biosolids are perceived as being special, but part of a range of a number of wastes seeking a disposal. The target must be to establish and maintain safe, sustainable and welcome operations for the supply of all of these products. Trust is at the heart. There is nothing special about biosolids; they should not demand special treatment and should be viewed as one of a range of safe products. There must be a ‘level playing field’ for all products and then customers can choose that which is most suitable for their needs on the basis of agronomic value, customer service and financial deals available. So, for example, municipal compost and biosolids should compete in the market place on the basis of normal commercial terms, but not on the basis of differential safety or quality. It behoves everyone to co-operate in creating the starting point of equality of opportunity. The UK has established the Sustainable Organic Resources Partnership to bring together all stakeholders for all kinds of organic resources. The objective has been to create a national focus of knowledge excellence, which can provide the confidence for building public trust. The paper describes the history, role and future of SORP.

The Duties of Doctors In Medical Education: A Letter To The Editor (Preprint)

2019 ◽  
Author(s):  
Sneha Barai
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Role Models ◽  
Role Model ◽  
General Medical Council ◽  
Future Generations ◽  
Medical Council ◽  
Positive Role ◽  
The Uk ◽  
And Training

UNSTRUCTURED The UK General Medical Council (GMC) explicitly states doctors have a duty to ‘contribute to teaching and training…by acting as a positive role model’. However, recent studies suggest some are not fulfilling this, which is impacting medical students' experiences and attitudes during their training. As such, doctors have a duty to act as role models and teachers, as specified by the GMC, which it seems are not currently being fulfilled. This would improve the medical students’ learning experiences and demonstrate good professional values for them to emulate. Therefore, these duties should be as important as patient care, since this will influence future generations.

scholarly journals Views about sensory modulation from people with schizophrenia and treating staff: A multisite qualitative study

2021 ◽  
pp. 030802262098847
Author(s):  
Tawanda Machingura ◽  
Chris Lloyd ◽  
Karen Murphy ◽  
Sarah Goulder ◽  
David Shum ◽  
...  
Keyword(s):  
Content Analysis ◽  
Treatment Option ◽  
Perceived Risk ◽  
Quantitative Methods ◽  
Qualitative Content Analysis ◽  
Treatment Options ◽  
Occupational Therapists ◽  
Sensory Modulation ◽  
Structured Interviews ◽  
Effective Training

Introduction Current non-pharmacological treatment options for people with schizophrenia are limited. There is, however, emerging evidence that sensory modulation can be beneficial for this population. This study aimed to gain insight into sensory modulation from the user’s and the treating staff’s perspectives. Method A qualitative content analysis design was used. Transcripts from occupational therapists ( n=11) and patients with schizophrenia ( n=13) derived from in-depth semi-structured interviews were analysed for themes using content analysis. Results Five themes emerged from this study: Service user education on the sensory approach is the key; A variety of tools should be tried; Sensory modulation provides a valued treatment option; There are challenges of managing perceived risk at an organisational level; and There is a shortage of accessible and effective training. Conclusion People with schizophrenia and treating staff had congruent perceptions regarding the use of sensory modulation as a treatment option. The findings suggest that sensory modulation can be a valued addition to treatment options for people with schizophrenia. We suggest further research on sensory modulation intervention effectiveness using quantitative methods so these results can be further explored.

Evolution of the deployed medical director role in an era of contingency operations: reflections from a United Nations operation

2021 ◽  
pp. bmjmilitary-2020-001690
Author(s):  
Giles Nordmann ◽  
J Ralph ◽  
J E Smith
Keyword(s):  
United Nations ◽  
Selection Process ◽  
Memory Loss ◽  
Medical Director ◽  
Corporate Memory ◽  
Individual Memory ◽  
Treatment Facilities ◽  
The Uk ◽  
The Military ◽  
And Training

This paper examines the development and evolution of the deployed medical director (DMD) role and argues for the re-establishment of a formal selection process and training pathway. Recent deployments into new areas of operations, deployment of smaller medical treatment facilities (MTFs), the reduced numbers of deployments for clinicians, working with various multinational partners and both military and civilian organisations all pose specific problems for DMDs. The initial and then continued deployment of a secondary care role 2 MTF as part of the United Nations Mission in South Sudan illustrated some of these challenges. Although a novel operation, the broad categories of these new challenges were similar to the historical challenges facing the first DMDs in Afghanistan. Corporate memory loss may be unavoidable to some degree due to rapid turnover in appointments, particularly in single service and joint headquarters. However, individual memory and experience remains extant within the military medical deployable workforce. After the cessation of UK military deployed hospital care involvement in Afghanistan, the UK DMD formal training pathway ended. This paper argues for the re-establishment of a more formal DMD selection process and training pathway to ensure that organisational learning is optimised.

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