scholarly journals Gabay Magulang: A Parent-Empowerment Program

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 174s-174s
Author(s):  
A.S. Fernandez

Background and context: Gabay Magulang or Parent Guide is a collaboration between Kythe Foundation Inc. and selected medical students to provide support for and empower parents of children newly diagnosed with cancer. With the guide, parents would be better able to understand and care for their children. Aim: The program has two aims. First, it seeks to inform parents by providing relevant information on childhood cancer and its treatment. Second, the program hopes to develop and empower core Parent Leaders who will take the lead in educating and supporting other parents. Strategy/Tactics: Focus group discussions (FGDs) were conducted with parents of children with cancer to better understand their needs and how best they can be supported. With the information gathered, a draft of the guide was written by the medical students and forwarded first to Kythe staff and then to pediatric hematologists/oncologists for editing. Four pediatric hematologists/oncologists edited the booklet before publishing. From the initial FGDs, a select group of core parents were invited to be Parent Leaders. Four training sessions on the use of the guide were conducted by Kythe. After the training, the Parent Leaders led learning sessions with parents of newly diagnosed children. Program/Policy process: Two programs are run every year with four months for each program. Monthly learning sessions are conducted in the four months by the Parent Leaders using Gabay Magulang (Parent Guide). In these four sessions, Kythe staff are present to provide support and a pediatric oncology fellow or consultant is on hand to either discuss a specific topic or provide answers to questions that arise. Outcomes: There are now four Parent Leaders who actively help in educating and empowering parents of newly diagnosed patients. More of the latter set of parents have expressed an increase in awareness and information of pediatric cancer. Likewise, they have become more involved in their children´s journey and treatment process. A new batch of Parent Leaders are now being chosen. What was learned: Empowering parents to be active partners and advocates in the holistic healing of their children undergoing treatment of cancer is essential. The Gabay Magulang program has published a parent guide, trained Parent Leaders to lead learning sessions and has provided parents with opportunities for better understanding of their children's illness and treatment and answered questions through sessions with a pediatric oncology fellow or consultant.

Author(s):  
Neil Heron ◽  
Sean R. O’Connor ◽  
Frank Kee ◽  
Jonathan Mant ◽  
Margaret E. Cupples ◽  
...  

Behavioural interventions that address cardiovascular risk factors such as physical inactivity and hypertension help reduce recurrence risk following a transient ischaemic attack (TIA) or “minor” stroke, but an optimal approach for providing secondary prevention is unclear. After developing an initial draft of an innovative manual for patients, aiming to promote secondary prevention following TIA or minor stroke, we aimed to explore views about its usability and acceptability amongst relevant stakeholders. We held three focus group discussions with 18 participants (people who had experienced a TIA or minor stroke (4), carers (1), health professionals (9), and researchers (4). Reflexive thematic analysis identified the following three inter-related themes: (1) relevant information and content, (2) accessibility of format and helpful structure, and (3) strategies to optimise use and implementation in practice. Information about stroke, medication, diet, physical activity, and fatigue symptoms was valued. Easily accessed advice and practical tips were considered to provide support and reassurance and promote self-evaluation of lifestyle behaviours. Suggested refinements of the manual’s design highlighted the importance of simplifying information and providing reassurance for patients early after a TIA or minor stroke. Information about fatigue, physical activity, and supporting goal setting was viewed as a key component of this novel secondary prevention initiative.


2021 ◽  
Vol 6 (8) ◽  

Background: Clinical decision making is predominantly knowledge-based perception, interpretation under terms of uncertainty. It is unclear whether interpretational ability can be improved. We evaluated the effect of a narrated group-discussions course (NGDC) on the interpretational ability of first-year medical students. Objective: To evaluate the effect of our course on first year medical students in respect to: a) their interpretational abilities b) their attitude towards studying literature and the core subjects. Method: Using a pre-post questionnaire, of a semester-long course, among two consecutive classes, the authors evaluated the participant’s interpretational ability and depth of understanding when analyzing four complex passages. Results: Out of 235 students, 146 (62%) responded to both questionnaires. There was a significant increase in the participant’s interpretational ability (P=0.003). ninety one participants (38%) improved their level of understanding in at least one out of the four passages, and 37 participants (25%) improved in two passages. A multivariate analysis revealed that the improvement in the interpretational ability was associated with younger age (P=0.034, CI 95%=0.64-0.98, OR=0.79), positive pre-course attitude and motivation (P<0.001, CI 95%=1.43-3.05, OR=2.09), and lack of a prior literature background (P=0.064, CI 95%=0.17-1.05, OR=0.43). Conclusion: Our data suggests that NGDC may improve and refine interpretational ability. Further studies are required to establish the short- and long-term impact of this change and whether it can be translated into better clinical decision making.


Libri ◽  
2018 ◽  
Vol 68 (3) ◽  
pp. 205-217
Author(s):  
Kepi Madumo ◽  
Constance Bitso

Abstract In the interest of developing relevant information services for ECD practitioners in Ekurhuleni Metropolitan Municipality (EMM), as ECD is one of the national priorities, a study was conducted to ascertain their information needs and information-seeking behaviour. Using Leckie, Pettigrew and Sylvain’s General Model of the Information Seeking of Professionals (GMISP) as the theoretical framework, and situated within interpretivist paradigm, the study took a qualitative approach to collect data, with the results based on group discussions and an interview with a key informant. The research focused on establishing Grade R practitioners’ information needs, with information sources they often consulted, actions and strategies used when seeking information, as well as challenges they face when seeking information. Grade R practitioners need information to increase their knowledge for optimum performance of their duties. To satisfy the demand for information, it is recommended that the EMM libraries and Gauteng Department of Education school libraries should consider a coordinated and accessible library and information service (LIS) that supports ECD practitioners. The plans and design of LIS in the EMM should accommodate the information needs expressed by the Grade R practitioners.


Author(s):  
Diêgo Andrade de Oliveira ◽  
Rosângela Souza Lessa ◽  
Suzana Cristina Silva Ribeiro ◽  
Pedro Fonseca de Vasconcelos

Abstract: Introduction: In the context of medical school, the development of methodologies that stimulate the students’ search for learning, autonomy and creativity are essential for medical education in Brazil. The study aims to describe the construction of infographics as a pedagogical proposal for the learning of organic human aging processes by medical students. Method: Medical students attending the 4th period at a Higher Education Institution built infographics, as a requirement for the practical content of the Aging Process module. The static-type infographic was adopted, following criteria such as the definition of the target audience; definition of the objective; choice of topic; selection of the most relevant information (focus); direct and accessible language; organized information; choices of color palettes and style and; infographic sketch. The entire creation process was supervised by the teacher in charge of the project, and evaluation criteria were previously established. Results: The class was divided into seven groups, resulting in the production of an infographic with a specific topic per group. The human aging topics were: Degenerative Joint Diseases, Bone Weakness, Pneumonia in the Elderly, Acute Myocardial Infarction, Vascular Dementia, Atherosclerosis and Herpes Zoster. It is worth noting that in addition to the creation, each group presented the final product to the other colleagues, explaining each item included in the static infographic. Conclusions: We observed that the students satisfactorily met the proposed evaluation requirements, demonstrating their involvement in the construction of infographics and, above all, in simple, creative and objective learning, using a powerful visual tool. We also add that the printed material will be used as aid in the histology laboratory and in extramural activities.


Author(s):  
Maryam Abbasi ◽  
Mohammad Al Eraky ◽  
Rahila Yasmeen ◽  
Rabia Ashfaq ◽  
Admin

Abstract Objective: To explore the effective coping strategies used by medical students against burnout. Method: The study was a mixed method study design. The Maslach burnout inventory (MBI) was used to identify burnout after which focus group discussions were carried out. Results: In our study, 56% of the students had high levels of Emotional Exhaustion, 23% had moderate and 21 % has low levels of EE, on the Cynicism scale 63% scored high,32% scored moderate while 5% scored low on cynicism scale. For professional efficacy 28% students scored low,50% scored moderate and 22% scored high on professional efficacy scale. Students with high scores on EE and Cynicism and low scores on Professional Efficacy were considered as burnt out. To determine coping strategies, focus group discussions and interviews with students with high burnout and low burnout were carried out. Seeking emotional support for coping was very common in the high burn out group. This involved getting moral support, sympathy and understanding. Parents played the main role in providing support to these students. Turning to religion, acceptance and venting were also seen as commonly used coping strategies. In the low burn out group, friends were the main source of support. Turning to religion was also found in this group. Doing extracurricular activities, positive reinterpretation and mental disengagement were also used to cope with stressful events. Conclusion: The results of this study can be used to promote positive coping strategies in students who are suffering from or at risk of developing burnout. Continuous...


2020 ◽  
Vol 8 (1) ◽  
pp. e000188
Author(s):  
Sook Ching Chan ◽  
Jaya Vinoshairine Ganeson ◽  
Jee Tat Ong ◽  
Sandheep Sugathan

ObjectiveTo explore the perception of medical students from a private medical college in Perak, Malaysia, on primary care practice and induce the factors influencing their perception and willingness to consider primary care as a career pathway.DesignQualitative study using focus group discussions. Participants’ responses were audio recorded, transcribed, grouped under various domains and listed out and analysed.SettingA private medical college in Perak state, Malaysia.ParticipantsForty-six medical students from years 2 to 5 were included. Eight focus groups were formed with two focus groups from each academic year (six students each in seven groups and four students in one group). Students were informed through their respective student leader of each year and received a participant information sheet and an informed consent form which were completed and returned if they decided to participate in the focus group discussions.ResultsThe participants had different levels of understanding of primary care depending on their level of exposure to primary care. Senior students with more exposure had a better understanding about primary care and its services. Attractive factors towards choosing primary care as a career included short working hours with a more balanced family and social life, being able to treat patients as a whole with continuity of care and closer relationship with patients. Unattractive factors included routine, unchallenging and boring practice, poor salary, work overload and administrative work in government clinics, being less recognised by other specialties; and the poor perception by other doctors that those pursuing primary care were not ‘brilliant enough’ for more ‘sophisticated disciplines like surgery or paediatrics’.ConclusionThis study showed that the medical students’ level of exposure to primary care played a crucial role in determining their understanding of primary care practice and their choice of career in primary care. Issues to be addressed include remuneration, workload and the prejudice against primary care as a career pathway. Suggestions included introducing early exposure to fun and challenging primary care postings in the medical curriculum and producing well trained, skilled and enthusiastic role models.


2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 9047-9047
Author(s):  
J. A. Heath ◽  
C. J. Stern

9047 Background: Over the past two decades, rapid advances have occurred in both the successful treatment of childhood cancers and reproductive medicine. We sought to establish the current level of clinical practice for sperm, oocyte and gonadal tissue collection and storage in children newly diagnosed with cancer in Australia and New Zealand (ANZ). Methods: A cross-sectional survey of all pediatric oncology services in ANZ was performed. Comparisons to recently published North American practices and to current recommendations for best practice were also made. Results: Of the 13 centers invited to participate, 12 (92%) completed the survey. All centers had offered sperm conservation, but only ten (83%) had offered oocyte/ovarian tissue conservation. Available methods of gamete collection and storage were not consistent. Two centers were using GnRH agonists as fertility protection in post-pubertal females. Forty-two per cent had offered fertility conservation to males and females prior to completion of sexual development. All centers were more likely to offer sperm conservation than oocyte conservation for any given disease. The most common diseases for which conservation was offered were lymphomas and sarcomas. The anticipated cumulative dose at which centers elected to offer fertility preservation varied widely, both for the alkylator cyclophosphamide (1g/m2 to 10g/m2) and for abdominal/pelvic irradiation (any to 12 Gy) and spinal irradiation (any to 18Gy). Fertility counseling was offered in a variety of settings by 82% of centers. Despite 92% of centers agreeing that fertility preservation guidelines would be helpful, only two (17%) had any in place. Overall, there was greater uptake and consistency of utilization of fertility services in ANZ when compared with published North American data. Conclusions: There are inconsistencies regarding the indications for and methods of gamete conservation in pediatric oncology centers throughout ANZ. Unresolved medical, legal and ethical issues suggest the development of guidelines and a voluntary code of practice would be helpful. No significant financial relationships to disclose.


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