scholarly journals Learning needs assessment for multi-stakeholder implementation science training in LMIC settings: findings and recommendations

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Mallory Wolfe Turner ◽  
Stephanie Bogdewic ◽  
Erum Agha ◽  
Carrie Blanchard ◽  
Rachel Sturke ◽  
...  
Keyword(s):  
Implementation Science ◽  
Sampling Strategy ◽  
Structured Interview ◽  
Learning Needs ◽  
Middle Income ◽  
Systematic Assessment ◽  
Novel Approach ◽  
Research Findings ◽  
Multi Stakeholder ◽  
Training Opportunities

Abstract Background Despite significant progress in the field of implementation science (IS), current training programs are inadequate to meet the global need, especially in low-and middle-income countries (LMICs). Even when training opportunities exist, there is a “knowledge-practice gap,” where implementation research findings are not useful to practitioners in a field designed to bridge that gap. This is a critical challenge in LMICs where complex public health issues must be addressed. This paper describes results from a formal assessment of learning needs, priority topics, and delivery methods for LMIC stakeholders. Methods We first reviewed a sample of articles published recently in Implementation Science to identify IS stakeholders and assigned labels and definitions for groups with similar roles. We then employed a multi-step sampling approach and a random sampling strategy to recruit participants (n = 39) for a semi-structured interview that lasted 30–60 min. Stakeholders with inputs critical to developing training curricula were prioritized and selected for interviews. We created memos from audio-recorded interviews and used a deductively created codebook to conduct thematic analysis. We calculated kappa coefficients for each memo and used validation techniques to establish rigor including incorporating feedback from reviewers and member checking. Results Participants included program managers, researchers, and physicians working in over 20 countries, primarily LMICs. The majority had over 10 years of implementation experience but fewer than 5 years of IS experience. Three main themes emerged from the data, pertaining to past experience with IS, future IS training needs, and contextual issues. Most respondents (even with formal training) described their IS knowledge as basic or minimal. Preferences for future training were heterogeneous, but findings suggest that curricula must encompass a broader set of competencies than just IS, include mentorship/apprenticeship, and center the LMIC context. Conclusion While this work is the first systematic assessment of IS learning needs among LMIC stakeholders, findings reflect existing research in that current training opportunities may not meet the demand, trainings are too narrowly focused to meet the heterogeneous needs of stakeholders, and there is a need for a broader set of competencies that moves beyond only IS. Our research also demonstrates the timely and unique needs of developing appropriately scoped, accessible training and mentorship support within LMIC settings. Therefore, we propose the novel approach of intelligent swarming as a solution to help build IS capacity in LMICs through the lens of sustainability and equity.

scholarly journals Learning Needs Assessment for Multi-stakeholder Implementation Science Training in LMIC Settings: Findings and Recommendations

2021 ◽  
Author(s):  
Mallory Wolfe Turner ◽  
Stephanie Bogdewic ◽  
Erum Agha ◽  
Carrie Blanchard ◽  
Rachel Sturke ◽  
...  
Keyword(s):  
Implementation Science ◽  
Sampling Strategy ◽  
Structured Interview ◽  
Learning Needs ◽  
Middle Income ◽  
Middle Income Countries ◽  
Novel Approach ◽  
Research Findings ◽  
Multi Stakeholder ◽  
Context Specific

Abstract Background: Despite significant progress in the field of implementation science (IS), current training programs are inadequate to meet the global need, especially in low-and middle-income countries (LMICs). Even when training opportunities exist, there is a “knowledge-practice gap,” where implementation research findings are not useful to practitioners in a field designed to bridge that gap. This is a critical challenge in LMICs where complex public health issues must be addressed. This paper describes results from a formal assessment of learning needs, priority topics, and delivery methods for LMIC stakeholders.Methods: We first reviewed a sample of articles published recently in Implementation Science to identify IS stakeholders and assigned labels and definitions for groups with similar roles. We then employed a multi-step sampling approach and a random sampling strategy to recruit participants (n=39) for a semi-structured interview that lasted 30-60 minutes. Stakeholders with inputs critical to developing training curricula were prioritized and selected for interviews. We created memos from audio recorded interviews and used a deductively created codebook to conduct thematic analysis. We calculated kappa coefficients for each memo and used validation techniques to establish rigor including incorporating feedback from reviewers and member checking.Results: Participants included program managers, researchers, and physicians working in over 20 countries, primarily LMICs. The majority had over ten years of implementation experience but fewer than five years of IS experience. Three main themes emerged from the data, pertaining to past experience with IS, future IS training needs, and contextual issues. Most respondents (even with formal training) described their IS knowledge as basic or minimal. Preferences for future training were heterogeneous, but findings suggest that curricula must encompass a broader set of competencies than just IS, include mentorship/apprenticeship, and center the LMIC context.Conclusion: This work is the first to explicitly explore and highlight the need for fundamental, widespread, and context specific training in IS and capacity building in basic operational research for key stakeholders in LMICs. Therefore, we propose the novel approach of intelligent swarming as a solution to help build IS capacity in LMICs through the lens of sustainability and equity.

scholarly journals Can Taste Rating of Groundwater Samples for the Presence of Iron Be A Novel Approach to Groundwater Iron Assessment?

2018 ◽  
Vol 9 (1) ◽  
pp. 22 ◽  
Author(s):  
Sabuktagin Rahman ◽  
Malay Kanti Mridha ◽  
Patricia Lee ◽  
Faruk Ahmed
Keyword(s):  
Iron Concentration ◽  
Structured Interview ◽  
Taste Perception ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Middle Income ◽  
Novel Approach ◽  
Tube Wells ◽  
Test Kit ◽  
Water Taste

Groundwater has been shown to contribute markedly to the daily iron intake of the rural Bangladeshi population and is currently characterized as an under-assessed possible source of dietary iron. Estimation of the levels of iron in groundwater in relation to dietary/nutritional assessments has been called for. However, the ability to do this may be limited due to unavailable equipment or technical, logistical and financial issues in remote areas of low- to middle-income countries. Groundwater with higher levels of iron has distinctive organoleptic properties such as a characteristic metallic/bitterly taste and reddish color. Anecdotal experience suggests that there is an association between a stronger metallic taste of water and its iron content. Therefore, we conducted a cross-sectional pilot study assessing the relationship of taste perception for iron in groundwater and its actual concentration of iron. Thirteen tube-wells were selected systematically in a rural village of northern Bangladesh. A brief structured interview was conducted with a systematic sampling of people living nearby to collect information on the tube-wells, perception of the taste of water from the wells, and their overall perception of the level of iron in the water. Two observers from the research team tasted a water sample from each well for iron and compared their observations. Iron concentration of the tube-well water was determined quantitatively by a test kit (Hach kit model 18B). The concentration of iron was significantly higher in water taste-rated by both the villagers and observers as "strong" for iron than in water taste-rated as having "some" iron. There were significant correlations between the taste-ratings of the two observers and between the observers and villagers. Bland-Altman plotting suggests that external observers are likely to provide valid and reproducible taste-ratings for the presence of iron in the water. A larger study is required to validate tasting as a cheap, simple and novel way to assess iron concentration in groundwater.

A study of the role and educational needs of ophthalmic specialist nurses

2021 ◽  
Vol 30 (14) ◽  
pp. 858-864
Author(s):  
Pornjittra Rattanasirivilai ◽  
Amy-lee Shirodkar
Keyword(s):  
Clinical Skills ◽  
Active Role ◽  
Educational Needs ◽  
Assessment Tools ◽  
Standards Of Care ◽  
Learning Needs ◽  
Hands On ◽  
Specialist Nurses ◽  
The Uk ◽  
Training Opportunities

Aims: To explore the current roles, responsibilities and educational needs of ophthalmic specialist nurses (OSNs) in the UK. Method: A survey of 73 OSNs ranging from band 4 to band 8 was undertaken in May 2018. Findings: 73% of OSNs undertake more than one active role, with 59% involved in nurse-led clinics; 63% felt formal learning resources were limited, with 63% reporting training opportunities and 21% reporting time as major barriers to further training. More than 38% emphasised hands-on clinic-based teaching had a greater impact on their educational needs. Some 64% were assessed on their skills annually and 59% felt confident with their skill set. Conclusion: The Ophthalmic Common Clinical Competency Framework provides a curriculum and assessment tools for OSNs to use as a structure to maintain clinical skills and knowledge. Eye departments should use this as guidance to target learning needs and improve standards of care to meet the changing needs of society.

The Power of Fiction: A Novel Approach to Presenting Research Findings

2009 ◽  
Vol 44 (1-2) ◽  
pp. 37
Author(s):  
Danny Wade ◽  
Courtney Vaughn ◽  
Wesley Long
Keyword(s):  
Novel Approach ◽  
Research Findings

Organizing Value-based Product Innovation: How Medical Equipment Manufacturers Embrace Complexity in Hybrid Operating Rooms

2021 ◽  
pp. 239496432110118
Author(s):  
Miguel Mendes ◽  
Martijn F. Rademakers
Keyword(s):  
Product Innovation ◽  
Medical Equipment ◽  
Manufacturing Industry ◽  
Healthcare Providers ◽  
Operating Rooms ◽  
Management Teams ◽  
Interventional Treatment ◽  
Product Management ◽  
Research Findings ◽  
Multi Stakeholder

This article shares research findings from the healthcare equipment manufacturing industry on how product management teams can enhance their value-based innovation processes. Value-based healthcare (VBHC) has transformed healthcare systems worldwide by shifting their focus towards patient-centred value creation. The VBHC concept has also inspired medical equipment manufacturers that seek to enable healthcare providers to realize their VBHC ambitions. In this article, we focus on the development of hybrid solutions for operating rooms in the context of VBHC. Hybrid operating rooms (HORs) add real-time medical imaging to surgical and interventional treatment of patients. This combination is quite challenging to realize, not just in terms of technology but also organizationally. Adjusting technology to the requirements of multiple clinical stakeholders drives complexity to unprecedented heights. How can product strategists manage this multi-stakeholder complexity? Through in-depth case research, we found that adopting a clear VBHC vision is key for product management teams designing HOR innovations. A VBHC vision allows multiple teams to align and effectively collaborate with the goal of enhancing patient care. In addition, we found that integrating inside-out and outside-in perspectives on product innovation helps medical equipment manufacturers produce VBHC-compatible innovations and foster collaboration between clinicians working in multipurpose rooms such as HORs.

Second Language Acquisition Research and Language Pedagogy: A Critical View

2015 ◽  
Vol 7 (4) ◽  
pp. 1 ◽  
Author(s):  
Mohammad Reza Talebinejad ◽  
Aasa Moattarian
Keyword(s):  
Second Language ◽  
Second Language Acquisition ◽  
Language Acquisition ◽  
Teaching Practice ◽  
Structured Interview ◽  
Language Teachers ◽  
Language Pedagogy ◽  
Language Research ◽  
Class 1 ◽  
Research Findings

<p class="1"><span lang="X-NONE">Over the past several decades, a substantial body of research on second language acquisition has been provided. The current study was an attempt to investigate language teachers’ views on applying research findings in their every day practice of language teaching through a critical lens. Data for this qualitative study was collected by means of a semi structured interview with 10 language teachers teaching English at different language institutes in Iran. Analyses of data revealed that, although teachers find second language acquisition research a useful tool for their professional development; they do not usually consult bodies of research in their every day teaching practice. They report problems in applying second language research in their practice due to problems with practicality, particularity, and possibility. The findings suggest that language teachers need to be exposed to insight from SLA research and practice.</span></p>

scholarly journals Inquiry-Based Learning on the Cloud

2016 ◽  
pp. 291-310 ◽  
Author(s):  
Alexander Mikroyannidis ◽  
Alexandra Okada ◽  
Andre Correa ◽  
Peter Scott
Keyword(s):  
Learning Environments ◽  
Teaching And Learning ◽  
Information Sources ◽  
Working Environment ◽  
Learning Needs ◽  
Inquiry Based Learning ◽  
Approach To Learning ◽  
Novel Approach ◽  
Education Community

Cloud Learning Environments (CLEs) have recently emerged as a novel approach to learning, putting learners in the spotlight and providing them with the cloud-based tools for building their own learning environments according to their specific learning needs and aspirations. Although CLEs bring significant benefits to educators and learners, there is still little evidence of CLEs being actively and effectively used in the teaching and learning process. This chapter addresses this issue by introducing a European initiative called weSPOT (Working Environment with Social, Personal and Open Technologies for Inquiry-based Learning) for supporting and enhancing inquiry-based learning in STEM education via a cloud-based inquiry toolkit. The chapter presents evidence of using this toolkit within a case study that investigates how a secondary education community of students / co-learners selects information sources on the web and identifies factors associated with the reliability of information sources during their collaborative inquiry (co-inquiry) project in online environments.

scholarly journals Concepções de residentes em saúde mental sobre o cuidado ofertado em rede de atenção psicossocial / Conceptions of residents in mental health on care provided in a psychosocial attention network

2018 ◽  
Vol 2 (1) ◽  
pp. 126-144
Author(s):  
Mikaelly Duarte Leite ◽  
Márcia Maria Mont' Alverne de Barros
Keyword(s):  
Mental Health ◽  
Working Conditions ◽  
Psychosocial Care ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Exploratory Research ◽  
Care Model ◽  
Service Workers ◽  
Attention Network ◽  
Research Findings

Resumo: A Rede de Atenção Psicossocial-RAPS é constituída por serviços e dispositivos voltados para a superação da lógica manicomial, priorizando dentre outros aspectos, o exercício da cidadania e inserção social das pessoas com transtornos mentais. Neste cenário, compreende-se que a Residência Multiprofissional em Saúde Mental é relevante para o processo de qualificação dos serviços, no que concerne ao fortalecimento da rede de atenção psicossocial, à integralidade da atenção e qualificação das práticas dos trabalhadores dos serviços de saúde. Objetivou-se nesse estudo, conhecer as concepções da primeira turma da Residência Multiprofissional em Saúde Mental da Paraíba acerca do cuidado em saúde mental prestado na RAPS de João Pessoa e Cabedelo. Trata-se de uma pesquisa descritiva-exploratória, desenvolvida por abordagem qualitativa, realizada com 8 residentes. Utilizou-se uma entrevista semiestruturada, e para sua interpretação, seguiu-se a análise de conteúdo. Os resultados indicaram, a partir dos relatos das residentes, fragilidades concernentes à desvalorização do trabalhador e da saúde mental e condições de trabalho precárias, por exemplo, dificuldades relevantes que estão em discordância com as propostas do novo modelo de atenção psicossocial e da reforma psiquiátrica brasileira. No entanto, os achados da pesquisa também evidenciaram potencialidades da RAPS e contribuições importantes dos residentes nestes serviços, às quais estão em consonância com os pressupostos do cuidado ancorado na atenção psicossocial, como o apontamento de profissionais identificados com a saúde mental e práticas das residentes que favoreceram o empoderamento, autonomia e protagonismo dos usuários. AbstractThe Psychosocial Attention Network (RAPS) consists of services and devices designed to overcome the asylum logic, prioritizing, among other aspects, the exercise of citizenship and social insertion of people with mental disorders. In this scenario, it is understood that the Multiprofessional Residency in Mental Health is relevant to the qualification process of the services, regarding the strengthening of the psychosocial care network, to the integral attention and qualification of the practices of health service workers. The objective of this study was to understand the conceptions of the first group of the Multiprofessional Residency in Mental Health of Paraíba regarding the mental health care provided in the RAPS of João Pessoa and Cabedelo. It is a descriptive-exploratory research, developed in the qualitative approach, carried out with 8 residents. A semi-structured interview was used, and for its interpretation, content analysis was followed. The results indicated, from the residents' reports, weaknesses concerning worker devaluation and mental health and precarious working conditions, for example, relevant difficulties that are in disagreement with the proposals of the new psychosocial care model and the Brazilian psychiatric reform. However, the research findings also highlighted the potential of RAPS and the important contributions of residents in these services, which are in line with the assumptions of care anchored in psychosocial care, such as the assignment of professionals identified with mental health and practices of residents who favored the empowerment, autonomy and protagonism of users.Keywords: Psychosocial Attention Network; Multiprofessional Residence; Mental health.

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