Preliminary Study Exploring Caretaker Perspectives of Euthanasia on Swine Operations

The purpose of this study was to gain a better understanding of euthanasia training, caretaker perceptions of euthanasia, and available resources for individuals who perform euthanasia as part of their job on swine operations in the United States. An online survey was distributed via an e-newsletter and in-person recruitment at swine industry events. Survey questions were related to training, attitudes towards performing euthanasia, work environment, and communication. Forty-five responses (17 workers, 21 managers, 7 owners) were recorded and summarized. The majority of workers (n = 14, 82%) agreed that they had “received enough training to euthanize pigs correctly” and that training had made them “confident about performing euthanasia”, yet 35% (6) also indicated they would like more euthanasia training. Less than one-third of workers indicated that strategies for dealing with “personal stress” (4, 24%) and “emotional wellness” 29% (5) were included in training programs but the majority (14, 82%) agreed that “trainings included human safety while performing euthanasia”. Most caretakers (37, 82%) agreed that they felt they could “communicate with my supervisors” if they felt uncomfortable performing euthanasia. Opportunities for the future include enhancing euthanasia training opportunities and content to include more awareness of strategies to deal with stress related to euthanasia.

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A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in Turkey

Emergency Medicine International ◽

10.1155/2019/6197618 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Murat Cetin ◽

Sercan Bicakci ◽

Mustafa Emin Canakci ◽

Mevlut Okan Aydin ◽

Basak Bayram

Keyword(s):

Emergency Medicine ◽

Work Environment ◽

Online Survey ◽

Critical Appraisal ◽

Emergency Services ◽

Training Programs ◽

Personal Characteristics ◽

Specialty Training ◽

Scientific Journals ◽

Burn Out

Background and Aim. The nonsatisfaction among emergency medicine specialty trainees is an underrated issue in Turkey. Several previous studies have evaluated the burn-out and its consequences among physicians, but there is no study conducted with specialty trainees. The aim of this study is to evaluate the reasons for resignation among emergency medicine specialty residents in Turkey. Method. A total of 41 participants, who resigned from emergency medicine residency, were contacted by phone and invited to complete an online survey that included 25 questions about personal characteristics and departmental information. Results. Most frequent reasons of resignation were violence/security concerns (63.4%), busy work environment (53.7%), and mobbing (26.8%). Participants who reported that they have resigned due to inadequate training were mostly over 30 years old (p=0.02), continued more than 6 months to EMST (p<0.001), reported that there was no regular rotation program (p=0.003) or access to full-text scientific journals (p=0.045) in their department. All participants thought that there were deficits in the training programs, and none of them declared regret for resigning. Twenty-eight participants (68.2%) continued their specialty training at a different discipline after resignation. Conclusion. Major barriers against a high-quality and sustainable emergency medicine residency are violence in emergency services, mobbing in academic or administrative bodies, and inaccessibility to scientific resources. These obstacles can only be removed by cooperation of multiple institutions in Turkey.

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Retention Initiatives Used by Professional Master's Athletic Training Program Directors

Athletic Training Education Journal ◽

10.4085/1003205 ◽

2015 ◽

Vol 10 (3) ◽

pp. 205-211

Author(s):

Thomas G. Bowman ◽

Thomas M. Dodge ◽

Stephanie M. Mazerolle

Keyword(s):

Training Program ◽

Athletic Training ◽

Online Survey ◽

Training Programs ◽

Program Directors ◽

The United States ◽

Retention Rates ◽

Application Process ◽

Telephone Interviews ◽

Athletic Training Program Directors

Context Many professional master's athletic training program directors believe retention is a problem facing athletic training education. However, it remains unknown what steps, if any, are taken to improve retention. Objective To inquire with program directors about their respective methods and interventions aimed at increasing retention rates. Design Qualitative study. Setting Professional master's athletic training programs. Patients or Other Participants Fifteen program directors out of 25 responded to an online survey invitation for a response rate of 60%. We also completed follow-up telephone interviews with 8 randomly selected program directors to gather greater insight into the ways they improve retention. Main Outcome Measure(s) We asked directors of all 25 professional master's athletic training programs in the United States to complete an online survey. We also asked 8 program directors from those who responded to complete telephone interviews. Grounded theory guided data analysis and we secured credibility through the use of multiple-analyst triangulation, member checks, and peer review. Results We identified 3 themes of ways program directors help improve student retention rates. Our participants described adequately screening admissions packets, providing financial support to defray the cost of pursuing a degree in athletic training at the professional master's level, and various student initiatives. Conclusions Based on our findings, we recommend a thorough application process that screens prospective students and identifies those who can complete the program. Program directors should also find ways to help defray the costs of earning a master's degree to allow students to become integrated into the program intellectually, socially, and clinically without increasing stress levels. Finally, providing students with opportunities for early socialization and mentoring should be aimed at explaining program expectations while preparing the students for professional practice.

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Institutional Training Opportunities for PhD Students in Laboratory Medicine: An Unmet Career Development Need?

The Journal of Applied Laboratory Medicine ◽

10.1093/jalm/jfz028 ◽

2020 ◽

Vol 5 (2) ◽

pp. 412-416

Author(s):

Jennifer M Colby ◽

Ferrin C Wheeler ◽

Kimberly A Petrie ◽

Kathleen L Gould ◽

Jonathan E Schmitz

Keyword(s):

Online Survey ◽

Clinical Chemistry ◽

The United States ◽

Laboratory Medicine ◽

Early Career ◽

Postdoctoral Training ◽

Career Training ◽

Local Institution ◽

The Status ◽

Training Opportunities

Abstract In the United States, the credentialing of PhD-scientists as medical directors of clinical laboratories is driven by formal postdoctoral training programs. Prior to acceptance in one these accredited fellowships, however, a trainee’s exposure to the field can be far less standardized, with significant ramifications for their awareness and competitiveness. In the current article, we describe our recent experiences in developing local, institution-based immersion opportunities for PhD experiences in the subdisciplines of laboratory medicine (clinical microbiology, clinical chemistry, and molecular genetics/genomics). It is our hope that this article—and a corresponding online survey—can prompt reflection and discussion on the status of early career training opportunities in these key clinical areas.

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Practice Patterns of Sleep Otolaryngologists at Training Institutions in the United States

Otolaryngology ◽

10.1177/0194599816671699 ◽

2016 ◽

Vol 156 (6) ◽

pp. 1025-1031 ◽

Cited By ~ 3

Author(s):

Austin S. Lam ◽

Sarah K. Wise ◽

Raj C. Dedhia

Keyword(s):

United States ◽

Residency Training ◽

Online Survey ◽

Practice Patterns ◽

Training Programs ◽

Program Directors ◽

The United States ◽

Sleep Medicine ◽

Board Certification ◽

Obstructive Sleep

Objective To assess the practice characteristics of adult sleep otolaryngologists within US otolaryngology residency training programs. Study Design Cross-sectional online survey. Setting Otolaryngology residency training programs. Subjects and Methods Program directors from 106 otolaryngology training programs in the United States were contacted. Program directors were instructed to forward a survey to otolaryngologists within the institution who provided Accreditation Council for Graduate Medical Education (ACGME) Otolaryngology Milestone Project feedback in “sleep-disordered breathing.” The survey assessed demographics, nonsurgical practices, and surgical/procedural practices of adult sleep otolaryngologists. Data were collected and analyzed. Results Forty-six surveys met inclusion criteria, representing 40 of 106 (38%) programs. Ninety-three percent of respondents reported that residents gained a significant portion of their sleep medicine training from themselves (ie, the respondents), yet only 36% of respondents spent ≥50% of their time on sleep medicine/surgery. Forty-one percent reported being board certified in sleep, with 18% having completed an ACGME fellowship in sleep medicine. Respondents with board certification were more likely to spend greater portions of their practice on sleep medicine/surgery, χ2(3, n = 44) = 23.161 ( P < .001), treat non–obstructive sleep apnea sleep disorders (13 of 18 vs 1 of 26, P < .001), interpret polysomnograms (13 of 17 vs 1 of 15, P < .001), and perform drug-induced sleep endoscopy, χ2(1, n = 43) = 5.43, ( P = .02). A similar pattern was seen with stratification by ACGME sleep medicine fellowship. Conclusion This study highlights the variance in practice patterns among sleep otolaryngologists who instruct residents. Board certification and fellowship training in sleep medicine significantly influence breadth of trainee exposure to this field. The highly disparate trainee experiences to sleep otolaryngology across US programs require attention.

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Facilitators and Barriers to Advancing in the Nursing Profession: Voices of U.S.- and Internationally Educated Nurses

Clinical Scholars Review ◽

10.1891/1939-2095.8.2.241 ◽

2015 ◽

Vol 8 (2) ◽

pp. 241-248 ◽

Cited By ~ 1

Author(s):

Rita K. Adeniran ◽

Anand Bhattacharya ◽

Rani Shrivastava

Keyword(s):

Work Environment ◽

Career Advancement ◽

Online Survey ◽

Qualitative Content Analysis ◽

The United States ◽

External Support ◽

Internationally Educated Nurses ◽

The Individual ◽

Areas Of Interest ◽

Competing Priorities

Background:Career advancement programs recognize nurses in the clinical area. Despite the advantages, not all nurses participate in the process.Purpose:To identify factors that influence career advancement among internationally educated nurses (IENs) and those educated in the United States (UENs).Methods:IENs and UENs participated in an online survey, which consisted of 2 open-ended questions asking them to discuss opportunities and barriers that have influenced participation in career advancement. Responses were analyzed using quantitative and qualitative content analysis.Results:Healthy work environment, commitment to advancement in the profession by the individual nurse and availability of external support by family, organization, and/or mentors positively influenced career advancement. Barrier themes were poor work environment, complacency, and competing priorities. Nurses identified limited opportunities to advance in areas of interest as a reason for less participation.Conclusion:Organizational leadership plays an important role in creating environments where nurses can advance their careers.

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Integrating health disparities content into health informatics courses: a cross-sectional survey study and recommendations (Preprint)

10.2196/preprints.26281 ◽

2021 ◽

Author(s):

Uba Backonja ◽

Annie T. Chen ◽

Kenrick Cato

Keyword(s):

Health Disparities ◽

Online Survey ◽

Training Programs ◽

The United States ◽

Survey Study ◽

Future Research ◽

Body Type ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Informatics Training

BACKGROUND Research suggests that while informatics solutions can help understand and address health disparities, there is potential for solutions to exacerbate existing or create new health disparities. To help future research and development of equitable solutions, we need to look upstream at how disparities are being integrated into informatics training programs. Doing so provides understanding and informs development of curricula that provide a foundation for future informaticists to build solutions that are ethical and equitable. OBJECTIVE To examine how the topic of health disparities is integrated into informatics courses. METHODS This cross-sectional, descriptive study took place April-October 2019 in the United States. Individuals teaching courses in informatics programs were recruited via listservs and email to complete an online survey. Instructors were eligible if they integrated disparities content into their informatics courses. Survey questions examined administrative aspects of the course (e.g., class size, mode of teaching, discipline of enrolled students) and disparities content integrated into the course (e.g., social determinants of health [SDOH] covered, how students were assessed on disparities related content). Participants also reported challenges they faced integrating disparities content into their courses. Quantitative data were analyzed using descriptive statistics; qualitative data were analyzed using inductive coding. RESULTS Invitations were sent to 141 individuals, including contacts for the National Library of Medicine (NLM) biomedical informatics training programs, and 11 listservs. We obtained data for 24 informatics courses that contained health disparities content. Courses were taught primarily in graduate programs (n=21, 87.5%) in informatics (n=9, 33.3%), nursing (n=7, 25.9%), and information science (n=6, 22.2%). Of the 24 courses, six (25.0%) were taught in an NLM training program. The most frequently covered SDOHs were socioeconomic status and race/ethnicity (both n=21, 87.5%); the least frequently covered were body type (n=0), low resource areas (n=2, 8.3%), and urban residences (n=3, 12.5%). Instructors noted three main types of challenges when integrating disparities related content into their courses: the need for additional resources, student-related challenges, and topic sensitivity. CONCLUSIONS Our sample included 24 informatics courses -- fewer than we had hoped -- that integrated disparities content; these courses spanned disciplines and varied in terms of the topics covered. Based on our findings, we provide recommendations for the intentional development of informatics programs to support the training of future generations of informaticians with foundational and transnational knowledge in health disparities so they are well-equipped to develop equitable informatics solutions. CLINICALTRIAL This study was not a clinical trial.

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Preliminary Exploration of Swine Veterinarian Perspectives of On-Farm Euthanasia

Animals ◽

10.3390/ani10101919 ◽

2020 ◽

Vol 10 (10) ◽

pp. 1919 ◽

Cited By ~ 1

Author(s):

Lily N. Edwards-Callaway ◽

Mary Caitlin Cramer ◽

I. Noa Roman-Muniz ◽

Lorann Stallones ◽

Sofia Thompson ◽

...

Keyword(s):

Online Survey ◽

Well Being ◽

Swine Production ◽

Moral Stress ◽

Protocol Development ◽

Emotional Wellness ◽

Personal Stress ◽

On Farm ◽

Mental Well Being ◽

And Training

Euthanasia is a critical component in swine production and veterinarians play an important role in euthanasia protocol development and training. This study aimed to understand veterinarian involvement in and perspectives on euthanasia on pig farms. An online survey was disseminated both at a pig welfare conference and online via a veterinarian e-newsletter. Twenty-five veterinarians participated in the survey. The majority of respondents indicated that caretakers are the individuals making euthanasia decisions and performing the task (n = 17, 68% and 22, 88%, respectively). The majority (22, 88%) of respondents indicated that most of the facilities with which they work have a written euthanasia protocol, and 72% (18) indicated that they assisted in protocol development. Only half of respondents (13, 52%) agreed that “all employees performing euthanasia have been trained adequately”, and 80% (20) identified an interest in delivering more training. Less than half the respondents indicated that strategies for coping with “personal stress” and “emotional wellness” (12, 48%) were included in euthanasia training. While the moral stress of performing euthanasia is recognized, there is opportunity for addressing mental well-being in euthanasia resources. Although preliminary, this study supports the need for further euthanasia training on-farm, involving veterinarians in the process.

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Speech-Language Pathologists' Perceptions of Their Preparation and Confidence for Providing Dysphagia Services

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00115 ◽

2020 ◽

Vol 5 (6) ◽

pp. 1666-1682

Author(s):

Lena G. Caesar ◽

Merertu Kitila

Keyword(s):

Service Delivery ◽

Graduate School ◽

Online Survey ◽

The United States ◽

Academic Preparation ◽

Speech Language Pathologists ◽

Confidence Levels ◽

Graduate School Preparation ◽

Graduate Preparation ◽

Significant Relationships

Purpose The purpose of this study was to investigate the perceptions of speech-language pathologists (SLPs) regarding their academic preparation and current confidence levels for providing dysphagia services, and the relationship between their perceptions of graduate school preparation and their current levels of confidence. Method This study utilized an online survey to gather information from 374 American Speech-Language-Hearing Association–certified SLPs who currently provide dysphagia services in the United States. Surveys were primarily distributed through American Speech-Language-Hearing Association Special Interest Group forums and Facebook groups. The anonymous survey gathered information regarding SLPs' perceptions of academic preparation and current confidence levels for providing dysphagia services in 11 knowledge and skill areas. Results Findings indicated that more than half of respondents did not feel prepared following their graduate academic training in five of the 11 knowledge and skill areas related to dysphagia service delivery. However, about half of respondents indicated they were currently confident about their ability to provide services in eight of the 11 knowledge and skill areas. Findings also indicated that their current confidence levels to provide dysphagia services were significantly higher than their perceptions of preparation immediately following graduate school. However, no significant relationships were found between respondents' self-reported current confidence levels and their perceptions of the adequacy of their academic preparation. Conclusions Despite SLPs' low perceptions of the adequacy of their graduate preparation for providing dysphagia services in specific knowledge and skill areas immediately following graduation, they reported high confidence levels with respect to their actual service delivery. Implications of these findings are discussed.

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School-Based Speech-Language Pathologists' Perceived Self-Efficacy in Conducting Multidimensional Treatment With Children Who Stutter

Language Speech and Hearing Services in Schools ◽

10.1044/2020_lshss-20-00044 ◽

2020 ◽

Vol 51 (4) ◽

pp. 1172-1186

Author(s):

Carolina Beita-Ell ◽

Michael P. Boyle

Keyword(s):

Self Efficacy ◽

Clinical Training ◽

Online Survey ◽

The United States ◽

Comfort Level ◽

Social Emotional ◽

Speech Language Pathologists ◽

Fluency Disorders ◽

Cognitive Components ◽

School Based

Purpose The purposes of this study were to examine the self-efficacy of school-based speech-language pathologists (SLPs) in conducting multidimensional treatment with children who stutter (CWS) and to identify correlates of self-efficacy in treating speech-related, social, emotional, and cognitive domains of stuttering. Method Three hundred twenty randomly selected school-based SLPs across the United States responded to an online survey that contained self-efficacy scales related to speech, social, emotional, and cognitive components of stuttering. These ratings were analyzed in relation to participants' beliefs about stuttering treatment and their comfort level in treating CWS, perceived success in therapy, and empathy levels, in addition to their academic and clinical training in fluency disorders as well as demographic information. Results Overall, SLPs reported moderate levels of self-efficacy on each self-efficacy scale and on a measure of total self-efficacy. Significant positive associations were observed between SLPs' self-efficacy perceptions and their comfort level in treating CWS, self-reported success in treatment, beliefs about the importance of multidimensional treatment, and self-reported empathy. There were some discrepancies between what SLPs believed was important to address in stuttering therapy and how they measured success in therapy. Conclusions Among school-based SLPs, self-efficacy for treating school-age CWS with a multidimensional approach appears stronger than previously reported; however, more progress in training and experience is needed for SLPs to feel highly self-efficacious in these areas. Continuing to improve clinician self-efficacy for stuttering treatment through improved academic training and increased clinical experiences should remain a high priority in order to enhance outcomes for CWS. Supplemental Material https://doi.org/10.23641/asha.12978194

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Suicide-Bereaved Individuals’ Attitudes Toward Therapists

Crisis ◽

10.1027/0227-5910/a000290 ◽

2015 ◽

Vol 36 (2) ◽

pp. 135-141 ◽

Cited By ~ 4

Author(s):

Erin F. Ward-Ciesielski ◽

Madeline D. Wielgus ◽

Connor B. Jones

Keyword(s):

Mental Health Treatment ◽

Online Survey ◽

The United States ◽

Limited Attention ◽

Time Of Death ◽

Loved One ◽

Important Group ◽

Positive Attitudes ◽

Suicide Bereaved ◽

Research Domain

Background: Suicide-bereaved individuals represent an important group impacted by suicide. Understanding their experiences following the suicide of a loved one is an important research domain, despite receiving limited attention. Although suicide-bereaved individuals may benefit from mental health treatment, their attitudes toward therapy and therapists are poorly understood. Aims: The present study aimed to understand the extent to which bereaved individuals’ attitudes toward therapy and therapists are impacted by whether their loved one was in therapy at the time of death. Method: Suicide-bereaved individuals (N = 243) from the United States were recruited to complete an online survey about their experience with and attitudes toward therapy and therapists following the suicide of a loved one. Results: Bereaved individuals whose loved one was in therapy at the time of death (N = 48, 19.8%) reported more negative and less positive attitudes toward the treating therapist than those whose loved one was not in therapy at the time of death (N = 81, 33.3%) or whose loved one was never in therapy/the deceased’s therapy status was unknown (N = 114, 46.9%). Conclusion: The deceased’s involvement with a therapist appears to be an important factor impacting the experience of bereaved individuals and should be considered when attempting to engage these individuals in postvention.

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