From clinician to educator: A scoping review of professional identity and the influence of impostor phenomenon

Introduction: As healthcare educators undergo a career transition from providing care to providing education, their professional identity can also transition accompanied by significant threat. Given their qualifications are usually clinical in nature, healthcare educators’ knowledge and skills in education and other relevant theories are often minimal, making them vulnerable to feeling fraudulent in the healthcare educator role. This threat and vulnerability is described as the impostor phenomenon. The aim of this study was to examine and map the concepts of professional identity and the influence of impostor phenomenon in healthcare educators. Methods: The authors conducted a scoping review of health professions literature. Six databases were searched, identifying 121 relevant articles, eight meeting our inclusion criteria. Two researchers independently extracted data, collating and summarising the results. Results: Clinicians who become healthcare educators experience identity ambiguity. Gaps exist in the incidence and influence of impostor phenomenon in healthcare educators. Creating communities of practice, where opportunities exist for formal and informal interactions with both peers and experts, has a positive impact on professional identity construction. Faculty development activities that incorporate the beliefs, values and attributes of the professional role of a healthcare educator can be effective in establishing a new professional identity. Conclusion: This review describes the professional identity ambiguity experienced by clinicians as they take on the role of healthcare educator and solutions to ensure a sustainable healthcare education workforce.

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Developing professional identity in nursing academics: The role of communities of practice

Nurse Education Today ◽

10.1016/j.nedt.2009.01.012 ◽

2009 ◽

Vol 29 (6) ◽

pp. 607-611 ◽

Cited By ~ 53

Author(s):

Nicola Andrew ◽

Dorothy Ferguson ◽

George Wilkie ◽

Terry Corcoran ◽

Liz Simpson

Keyword(s):

Communities Of Practice ◽

Professional Identity

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ICF Personal Factors Strengthen Commitment to Person-Centered Rehabilitation – A Scoping Review

Frontiers in Rehabilitation Sciences ◽

10.3389/fresc.2021.709682 ◽

2021 ◽

Vol 2 ◽

Author(s):

Maarit Karhula ◽

Sari Saukkonen ◽

Essi Xiong ◽

Anu Kinnunen ◽

Tuija Heiskanen ◽

...

Keyword(s):

Scoping Review ◽

International Classification Of Functioning ◽

Personal Factors ◽

Inclusion Criteria ◽

Physical Context ◽

Holistic Understanding ◽

Socio Demographic Factors ◽

And Behavior

Background: The International Classification of Functioning, Disability and Health (ICF) classification is a biopsychosocial frame of reference that contributes to a holistic understanding of the functioning of a client and the factors involved. Personal factors (PFs) are not currently classified in the ICF due to large societal and cultural diversity and lack of clarity in the scope of such factors.Aims: To ascertain which factors in the ICF classification have been defined as PFs in different studies and what conclusions have been drawn on their role in the ICF classification.Methods: The study was a scoping review. A systematic search for articles published in 2010–2020 was performed on the Cinahl, Pubmed, ScienceDirect, and Sport Discus databases. The PFs specified in the articles were classified according to the seven categories proposed by Geyh et al. socio-demographic factors; position in the immediate social and physical context; personal history and biography; feelings; thoughts and beliefs; motives; and general patterns of experience and behavior.Results: The search yielded 1,988 studies, of which 226 met the inclusion criteria. The studies had addressed a wide variety of PFs that were linked to all seven categories defined by Geyh et al. Some studies had also defined PFs that were linkable to other components of the ICF or that did not describe functioning. Approximately 22% (51) of the studies discussed the role of PFs in rehabilitation.Conclusions: The range of PFs in the ICF classification addressed in the reviewed studies is wide. PFs play an important role in rehabilitation. However, according to the reviewed studies, a more precise coding of PFs is not yet warranted.

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The Role of Patient-Site Facilitators in Teleaudiology: A Scoping Review

American Journal of Audiology ◽

10.1044/2020_aja-19-00070 ◽

2020 ◽

Vol 29 (3S) ◽

pp. 661-675 ◽

Cited By ~ 3

Author(s):

Laura Coco ◽

Alyssa Davidson ◽

Nicole Marrone

Keyword(s):

Scoping Review ◽

Future Research ◽

Inclusion Criteria ◽

Hands On ◽

Quasi Experimental ◽

Hearing Health ◽

And Training ◽

Improve Access ◽

Site Facilitator

Purpose Teleaudiology helps improve access to hearing health care by overcoming the geographic gap between providers and patients. In many teleaudiology encounters, a facilitator is needed at the patient site to help with hands-on aspects of procedures. The aim of this study was to review the scope and nature of research around patient-site facilitators in teleaudiology. We focused on identifying the facilitators' background, training, and responsibilities. Method To conduct this scoping review, we searched PubMed, CINAHL, and Embase. To be included, studies needed to address teleaudiology; be experimental/quasi-experimental, correlational/predictive, or descriptive; be published in English; and include the use of a facilitator at the patient location. Results A total of 82 studies met the inclusion criteria. The available literature described a number of different individuals in the role of the patient-site facilitator, including audiologists, students, and local aides. Fifty-seven unique tasks were identified, including orienting the client to the space, assisting with technology, and assisting with audiology procedures. The largest number of studies ( n = 42) did not describe the facilitators' training. When reported, the facilitators' training was heterogenous in terms of who delivered the training, the length of the training, and the training content. Conclusions Across studies, the range of duties performed by patient-site facilitators indicates they may have an important role in teleaudiology. However, details are still needed surrounding their background, responsibilities, and training. Future research is warranted exploring the role of the patient-site facilitator, including their impact on teleaudiology service delivery. Supplemental Material https://doi.org/10.23641/asha.12475796

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ICF-luokituksen yksilötekijöiden kuvaus on osa toimintakyvyn laaja-alaista arviointia

Kuntoutus ◽

10.37451/kuntoutus.109476 ◽

2021 ◽

Vol 44 (2) ◽

pp. 9-24

Author(s):

Maarit Karhula ◽

Sari Saukkonen ◽

Anu Kinnunen ◽

Tuija Heiskanen ◽

Essi Xiong ◽

...

Keyword(s):

Scoping Review ◽

Frame Of Reference ◽

Personal History ◽

Personal Factors ◽

Inclusion Criteria ◽

Physical Context ◽

Factors Influencing ◽

Holistic Understanding ◽

And Behavior

ICF-luokitus on biopsykososiaalinen viitekehys, joka mahdollistaa asiakkaan toimintakyvyn ja siihen nivoutuvien tekijöiden kokonaisvaltaisen ymmärtämisen. ICF-luokituksen Yksilötekijät -osa-alueen tarkempi kuvaus on kesken, mikä vaikeuttaa ICF-luokituksen täysipainoista hyödyntämistä. Tämän kartoittavan kirjallisuuskatsauksen tavoitteena oli kuvata, mitä teemoja tutkimuksissa oli tunnistettu ICF-luokituksen mukaisiksi yksilötekijöiksi ja miten yksilötekijöiden luokittelun ja huomioisen tarvetta käytännön työssä perusteltiin. Systemaattinen tiedonhaku tehtiin Cinahl, Pubmed, Science Direct ja Sport Discus sekä Finna, Helda, Helka, Julkari ja Medic -tietokannoista rajautuen vuosina 2010–2020 julkaistuihin artikkeleihin. Teoriaohjaavan aineiston analyysimenetelmällä artikkeleista eritellyt yksilötekijät luokiteltiin Geyh ym. (2019) mukaan seitsemään luokkaan: 1. Sosio-demografiset tekijät, 2. Asema välittömässä sosiaalisessa ja fyysisessä kontekstissa, 3. Henkilökohtaisen elämän historia, 4. Henkilökohtainen kokemus tunteista, 5. Henkilökohtainen kokemus omista ajatuksista ja uskomuksista, 6. Motiivit ja 7. Toistuvat kokemukselliset ja käyttäytymisen mallit. Mukaanottokriteerit täyttävissä 226 artikkelissa oli käsitelty runsaasti erilaisia yksilötekijöitä. Ne linkittyivät kaikkiin Geyh ym. (2019) luokkiin ja osa jäi luokituksen ulkopuolelle. Lisäksi osassa tutkimuksissa oli määritelty yksilötekijöiksi tekijöitä, jotka olivat linkitettävissä jollekin toiselle ICF-osa-alueelle tai jotka eivät kuvanneet toimintakykyä. Päätelmiä yksilötekijöiden roolista kuntoutuksessa oli tehty 50 (22 %) tutkimuksista. ICF:n yksilötekijöiden kirjo tutkimuksissa oli laaja, ja niiden huomioiminen osana toimintakykytietoa laajentaa ymmärrystä asiakkaan tilanteesta ja kuntoutumiseen vaikuttavista tekijöistä. Tämän tutkimuksen perusteella ei kuitenkaan ole mahdollista suositella, tulisiko ja miten yksilötekijöitä luokitella tarkemmin. Abstract The ICF personal factors are part of a comprehensive assessment of functioning - a scoping review of ICF personal factors in the rehabilitation studies The ICF classification is a biopsychosocial frame of reference that contributes to a holistic understanding of the client’s functioning and the factors involved. A more detailed description of the ICF personal factors is pending, which makes it difficult to apply the ICF classification in full. The aim of this scoping review was to describe which themes were identified in the studies as personal factors according to the ICF classification and what conclusions have been drawn about their further coding in the ICF classification. A systematic search was performed on the Cinahl, Pubmed, Science Direct and Sport Discus as well as Finnish databases (Finna, Helda, Helka, Julkari and Medic), based on articles published in 2010–2020. According to Geyh et al. (2019), the personal factors specified in the articles by, were classified into seven categories: socio-demographical factors, position in the immediate social and physical context, personal history and biography, feelings, thoughts and beliefs, motives, and general patterns of experience and behavior. The search yielded 226 studies that met the inclusion criteria. The articles had addressed a wide variety of personal factors that linked to all seven categories defined by Geyh et al. (2019). In addition, some studies had defined as personal factors that were linkable to other components of the ICF or that did not describe functioning. About 50 (22 %) of the studies had made conclusions on the role of personal factors in rehabilitation. The range of personal factors in the ICF classification addressed in the studies is wide and taking them into account as part of functioning information expands the understanding of the client's situation and the factors influencing rehabilitation However, based on this study, it is not possible to recommend a more precise coding of personal factors. Keywords: ICF, personal factors, rehabilitation, scoping review

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Exploring the contribution of housing adaptations in supporting everyday life for people with dementia: a scoping review

Ageing and Society ◽

10.1017/s0144686x21001367 ◽

2021 ◽

pp. 1-27

Author(s):

Rita Newton ◽

Sue Adams ◽

John Keady ◽

Emmanuel Tsekleves

Keyword(s):

Everyday Life ◽

Scoping Review ◽

Daily Living ◽

Positive Impact ◽

Trial And Error ◽

Inclusion Criteria ◽

Search Terms ◽

People With Dementia ◽

Physical Limitations ◽

Person With Dementia

Abstract The primary aim of this scoping review was to explore the contribution of housing adaptations to supporting everyday life for people with dementia living at home in the community. The study adopted a scoping review methodology which was guided by the Joanna Briggs Institute Reviewers Manual. Four review questions were developed which subsequently informed the inclusion criteria and search terms. Eight databases were searched resulting in 2,339 records, with 13 papers being included in the review. Evidence from the review found that the most common adaptations were recommended and/or implemented to compensate for a person's physical limitations and for safety reasons, rather than adaptations to support activities of daily living for a person with dementia. Support to implement adaptations was provided by a range of professionals coupled with ‘trial and error’ approaches adopted by the person themselves, and these were seen as key enablers. Barriers to implementing and using adaptations were fourfold: (a) access to information, (b) knowing when to make changes, (c) carer resistance, and (d) the unsuitability of the home. It would appear that housing adaptations have a positive impact on both the person with dementia and the carer (where one is present), with some adaptations having a relatively sustained impact and being particularly effective if implemented early in the lived trajectory of dementia.

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How Are Continuous Quality Improvement (CQI) Approaches Used in Evaluating Management Development Programs? a literature review

Asia Pacific Journal of Health Management ◽

10.24083/apjhm.v13i2.9 ◽

2018 ◽

Vol 13 (2) ◽

pp. i10 ◽

Cited By ~ 1

Author(s):

Leigh-ann Onnis ◽

Marcia Hakendorf ◽

Komla Tsey

Keyword(s):

Scoping Review ◽

Action Learning ◽

Management Development ◽

Development Programs ◽

Inclusion Criteria ◽

Management Competencies ◽

Continuous Quality ◽

Prisma Statement ◽

Meta Analyses

Aim: The aim of the review was to examine the characteristics of studies that use CQI approaches to evaluate management development programs; and to synthesise the findings to understand how CQI approaches are being used to evaluate the effectiveness of management development programs. Method: A scoping review of the literature was conducted in a manner consistent with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The matches were screened by title and abstract using the inclusion criteria, leading to a full paper review of 48 papers. Of these, the 14 papers found to meet the inclusion criteria for the scoping review were independently reviewed and analysed by two of the authors. Findings: The review revealed the ways in which CQI approaches were used in evaluating management development programs highlighting the role of context, pre-determined competencies and participatory CQI approaches. Participatory CQI approaches including on-the-job application of learning provided opportunities for participants to learn through CQI activities associated with action learning and CQI feedback cycles. Conclusions: The authors concluded that evaluations using participatory CQI approaches are better positioned to report more comprehensively on the benefits of management development programs when they include the competencies required to be successful in the context within which the manager is working. Future directions for research in this area include an examination of the microsystem context to determine whether the required management competencies associated with remoteness differ from other contexts.

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Inpatient Treatment of Functional Neurological Disorder: A Scoping Review

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/cjn.2020.159 ◽

2020 ◽

pp. 1-14

Author(s):

Gabriela S. Gilmour ◽

Jessica D. Jenkins

Keyword(s):

Scoping Review ◽

Neurological Disorder ◽

Inpatient Treatment ◽

Search Strategy ◽

Care Setting ◽

Positive Impact ◽

Inpatient Rehabilitation ◽

Inclusion Criteria ◽

Elective Admission ◽

Functional Neurological Disorder

ABSTRACT: Background: The aim of this scoping review is to describe the characteristics of patients requiring admission to hospital for functional neurological disorder (FND), assess interventions provided, and evaluate outcomes in the context of acute hospital presentation or elective admission with chronic symptoms (>3 months). Methods: A scoping review was performed. Included articles described adult patients admitted with FND to an inpatient care setting. Articles focusing on psychogenic non-epileptic attacks (PNEA) were excluded. Results: The search strategy identified 1963 citations. A total of 34 articles met inclusion criteria, with 458 patients (66% female) described. The pooled mean age of patients in all studies was 40.6 years. Eleven studies described patients with acute presentation, and 16 studies described patients with chronic FND symptoms admitted to the hospital. Motor symptoms were most common. Interventions were most commonly physiotherapy and psychotherapy. Most studies reported partial or complete resolution of symptoms. Conclusions: This scoping review summarizes the literature on the characteristics of patients admitted to the hospital, both with acute and chronic symptoms, for inpatient treatment of FND. When comparing patients with acute to those with chronic symptoms, we found that acute presentations were older (46.9 vs. 43.7 years) and had a higher representation of men (33% vs. 30%). Those presenting with chronic symptoms were more likely to not improve or relapse. We postulate that early diagnosis and inpatient rehabilitation could have a positive impact on outcomes for patients with FND.

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Biomarkers for Inner Ear Disorders: Scoping Review on the Role of Biomarkers in Hearing and Balance Disorders

Diagnostics ◽

10.3390/diagnostics11010042 ◽

2020 ◽

Vol 11 (1) ◽

pp. 42

Author(s):

Nahla A. Gomaa ◽

Zaharadeen Jimoh ◽

Sandra Campbell ◽

Julianna K. Zenke ◽

Agnieszka J. Szczepek

Keyword(s):

Inner Ear ◽

Scoping Review ◽

Building Blocks ◽

Type Ii Collagen ◽

Cochrane Library ◽

Inclusion Criteria ◽

Ear Diseases ◽

Ovid Medline ◽

Inner Ear Disorders

The diagnostics of inner ear diseases are primarily functional, but there is a growing interest in inner ear biomarkers. The present scoping review aimed to elucidate gaps in the literature regarding the definition, classification system, and an overview of the potential uses of inner ear biomarkers. Relevant biomarkers were categorized, and their possible benefits were evaluated. The databases OVID Medline, EMBASE, EBSCO COINAHL, CA PLUS, WOS BIOSIS, WOS Core Collection, Proquest Dissertations, Theses Global, PROSPERO, Cochrane Library, and BASE were searched using the keywords “biomarker” and “inner ear”. Of the initially identified 1502 studies, 34 met the inclusion criteria. The identified biomarkers were classified into diagnostic, prognostic, therapeutic, and pathognomonic; many were detected only in the inner ear or temporal bone. The inner-ear-specific biomarkers detected in peripheral blood included otolin-1, prestin, and matrilin-1. Various serum antibodies correlated with inner ear diseases (e.g., anti-type II collagen, antinuclear antibodies, antibodies against cytomegalovirus). Further studies are advised to elucidate the clinical significance and diagnostic or prognostic usage of peripheral biomarkers for inner ear disorders, filling in the literature gaps with biomarkers pertinent to the otology clinical practice and integrating functional and molecular biomarkers. These may be the building blocks toward a well-structured guideline for diagnosing and managing some audio-vestibular disorders.

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The Role of Predictability of Perturbation in Control of Posture: A Scoping Review

Motor Control ◽

10.1123/mc.2021-0074 ◽

2021 ◽

pp. 1-47

Author(s):

Tippawan Kaewmanee ◽

Alexander S. Aruin

Keyword(s):

Scoping Review ◽

Balance Control ◽

Sensory Information ◽

Information Resources ◽

Inclusion Criteria ◽

Implicit Information ◽

Explicit Information ◽

Comprehensive Search

Efficient maintenance of posture depends on the ability of humans to predict consequences of a perturbation applied to their body. The purpose of this scoping review was to map the literature on the role of predictability of a body perturbation in control of posture. A comprehensive search of MEDLINE, EMBASE, and CINAHL databases was conducted. Inclusion criteria were studies of adults participating in experiments involving body perturbations, reported outcomes of posture and balance control, and studies published in English. Sixty-three studies were selected. The reviewed information resources included the availability of sensory information and the exposure to perturbations in different sequences of perturbation magnitudes or directions. This review revealed that people use explicit and implicit information resources for the prediction of perturbations. Explicit information consists of sensory information related to perturbation properties and timing, whereas implicit information involves learning from repetitive exposures to perturbations of the same properties.

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Stress Granules and Neurodegenerative Disorders: A Scoping Review

Frontiers in Aging Neuroscience ◽

10.3389/fnagi.2021.650740 ◽

2021 ◽

Vol 13 ◽

Author(s):

Mohammad Reza Asadi ◽

Marziyeh Sadat Moslehian ◽

Hani Sabaie ◽

Abbas Jalaiei ◽

Soudeh Ghafouri-Fard ◽

...

Keyword(s):

Neurodegenerative Diseases ◽

Scoping Review ◽

Neurodegenerative Disorders ◽

Bioinformatics Analysis ◽

Stress Granules ◽

Inclusion Criteria ◽

Frontotemporal Degeneration ◽

Protein Components ◽

Lateral Sclerosis

Cytoplasmic ribonucleoproteins called stress granules (SGs) are considered as one of the main cellular solutions against stress. Their temporary presence ends with stress relief. Any factor such as chronic stress or mutations in the structure of the components of SGs that lead to their permanent presence can affect their interactions with pathological aggregations and increase the degenerative effects. SGs involved in RNA mechanisms are important factors in the pathophysiology of neurodegenerative disorders such as amyotrophic lateral sclerosis (ALS), frontotemporal degeneration (FTD), and Alzheimer's diseases (AD). Although many studies have been performed in the field of SGs and neurodegenerative disorders, so far, no systematic studies have been executed in this field. The purpose of this study is to provide a comprehensive perspective of all studies about the role of SGs in the pathogenesis of neurodegenerative disorders with a focus on the protein ingredients of these granules. This scoping review is based on a six-stage methodology structure and the PRISMA guideline. A systematic search of seven databases for qualified articles was conducted until December 2020. Publications were screened independently by two reviewers and quantitative and qualitative analysis was performed on the extracted data. Bioinformatics analysis was used to plot the network and predict interprotein interactions. In addition, GO analysis was performed. A total of 48 articles were identified that comply the inclusion criteria. Most studies on neurodegenerative diseases have been conducted on ALS, AD, and FTD using human post mortem tissues. Human derived cell line studies have been used only in ALS. A total 29 genes of protein components of SGs have been studied, the most important of which are TDP-43, TIA-1, PABP-1. Bioinformatics studies have predicted 15 proteins to interact with the protein components of SGs, which may be the constituents of SGs. Understanding the interactions between SGs and pathological aggregations in neurodegenerative diseases can provide new targets for treatment of these disorders.

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