scholarly journals Suicide Safety Planning: Clinician Training, Comfort, and Safety Plan Utilization

Author(s):  
Emma H. Moscardini ◽  
Ryan M. Hill ◽  
Cody G. Dodd ◽  
Calvin Do ◽  
Julie B. Kaplow ◽  
...  

Extant literature has demonstrated that suicide safety planning is an efficacious intervention for reducing patient risk for suicide-related behaviors. However, little is known about factors that may impact the effectiveness of the intervention, such as provider training and comfort, use of specific safety plan elements, circumstances under which providers choose to use safety planning, and personal factors which influence a provider’s decision to use safety planning. Participants were (N = 119) safety plan providers who responded to an anonymous web-based survey. Results indicated that most providers had received training in safety planning and were comfortable with the intervention. Providers reported that skills such as identifying warning signs and means safety strategies were routinely used. Providers who reported exposure to suicide were more likely to complete safety plans with patients regardless of risk factors. In addition, almost 70% of providers indicated a need for further training. These data provide important considerations for safety plan implementation and training.

2020 ◽  
Author(s):  
Lingxiao Qiu ◽  
Shanshan Chen ◽  
Cong Wang ◽  
Caihong Liu ◽  
Huaqi Wang ◽  
...  

BACKGROUND Lung transplantation recipients (LTx) are more susceptible to severe acute respiratory syndrome-corona virus-2 (SARS-Cov-2) and suffer severer outcomes than healthy subjects. OBJECTIVE Here we aim to analyze whether it was appropriate to maintain lung transplant programs in medical institutions accepting coronavirus disease 2019 (COVID-19) patients. METHODS Methods: the clinical characteristics, laboratory testing, and epidemiology survey results of 10 LTx recipients undergoing allograft lung transplantation surgeries in the First Affiliated Hospital of Zhengzhou University during the COVID-19 pandemic were collected. A web-based epidemiology questionnaire was used to collect the information of LTx recipients after discharge. RESULTS A total of 10 LTx recipients were identified. The main cause of lung transplantation was idiopathic interstitial pneumonia (60%), with another rare case of cystic fibrosis. Comorbidities involved hyperlipidemia, subclinical hyperthyroidism, diabetes, viral hepatitis of type B. The average white blood cell (WBC) count and average lymphocyte count were 9.5±3.9×109 cells/liter and 1.7±1.1×109 cells/liter, respectively. 40% of the LTx recipients had lymphopenia. Impaired alanine aminotransferase (ALT) and aspartate transaminase (AST) were observed in LTx recipients. Good habitats of hand hygiene (100%), wearing protective masks behaviors (100%), indoor ventilation behaviors (100%), indoor disinfection measures (83%), personal tableware (67%), separate room (100%), personal bedsheets/ quilts (100%) and drinking glasses (100%) were observed during the follow-up. None of the LTx recipients or their family members get infected with SARS-CoV-2 during the novel coronavirus pandemic. CONCLUSIONS Under the premise of taking appropriate preventive measures during hospitalization and after discharge, the lung transplant program can be maintained in the medical institution that accepts patients with COVID-19. INTERNATIONAL REGISTERED REPORT RR2-doi: https://doi.org/10.1101/2020.07.06.20147264


2014 ◽  
Vol 75 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Jessica R.L. Lieffers ◽  
Vivienne A. Vance ◽  
Rhona M. Hanning

Purpose A cross-sectional web-based survey of dietitians was used to explore topics related to mobile devices and their applications (apps) in Canadian dietetic practice. Methods A survey was drafted, posted on SurveyMonkey, and pretested with dietitians and dietetic interns. Dietitians of Canada (DC), a supporter of this work, promoted the survey to members through its monthly electronic newsletters from January 2012 to April 2012. Results Of 139 dietitians who answered some survey questions, 118 finished the survey; this represents a response rate of approximately 3%. Overall, 57.3% of respondents reported app use in practice, and 54.2% had a client ask about or use a nutrition/food app. About 40.5% of respondents had recommended nutrition/food apps to clients. Respondents were enthusiastic about apps, but many described challenges with use. From the survey data, three themes emerged that can affect dietitians’ use of apps and whether they recommend apps to clients: mobile device and app factors (access to information/ tools, content quality, usability, accessibility/compatibility, and cost), personal factors (knowledge, interest, suitability, and willingness/ability to pay), and workplace factors. Conclusions Apps are now infiltrating dietetic practice. Several factors can affect dietitians’ use of apps and whether they recommend them to clients. These findings will help guide future development and use of apps in practice.


2003 ◽  
Vol 12 (3) ◽  
pp. 259-272 ◽  
Author(s):  
Kathryn Kohnert ◽  
Mary R. T. Kennedy ◽  
Leslie Glaze ◽  
Pui Fong Kan ◽  
Edward Carney

This study explored the impact of recent demographic changes on clinical service delivery in the state of Minnesota. A Web-based survey was used to ask speech-language pathologists in Minnesota about their training, clinical caseloads, and professional experiences with respect to diversity. Primary survey goals were to (a) determine if, and how, recent changes in the overall state demographics were reflected on caseloads of speech-language pathologists, and (b) identify challenges clinicians faced in meeting the needs of an increasingly diverse population. The authors considered the breadth or range of economically, racially, ethnically, and linguistically diverse populations represented on caseloads, relative to depth of diversity. Survey results are discussed with respect to challenges inherent in providing services to a diverse caseload, together with the competencies needed in order to meet these professional challenges.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Vini Vijayan ◽  
Matthew Kim ◽  
Kenneth M. Zangwill ◽  
Chrisanna Mink ◽  
Sylvia Yeh

Objectives. To assess perceptions of obstetrical healthcare personnel (HCP) regarding routine delivery of Tdap and influenza vaccines to pregnant and postpartum women and identify perceived barriers to vaccination. Methods. Anonymous Web-based survey of obstetricians and nurses caring for pregnant and/or postpartum women. Results. We contacted 342 HCP and received 163 (48%) completed surveys (33/142 (23%) obstetricians, 130/200 (65%) nurses). Among obstetricians, 72% and 63% thought it was “beneficial” to immunize postpartum women against influenza and pertussis, respectively. Only 8% reported vaccinating >75% of pregnant women in their care against influenza. Similarly, <1% of obstetricians reported vaccinating against pertussis. Of all HCP surveyed, 92% and 58% were familiar with ACIP recommendations for influenza and pertussis, respectively. Reported perceived barriers included patient refusal to be vaccinated, reimbursement difficulties, and discomfort in providing vaccine education. Ninety-four percent of respondents agreed that standing orders would be helpful to ensure postpartum vaccination. Conclusions. HCP were less familiar with ACIP recommendations for Tdap compared to influenza vaccines. Substantial discrepancy existed between perceived benefit of vaccination and reported immunization practices. Most identified barriers could be addressed with provider training; however, other barriers require review and changes in systematic policies related to vaccine reimbursement.


Author(s):  
Jacquelyn K. Stroble ◽  
Robert B. Stone ◽  
Steve E. Watkins

Engineering education has been evolving over the last few decades to include more engineering design courses in the curriculum or offer a new degree altogether that allows one to design a unique degree suited to his or her own interests and goals. These new engineering curricula produce engineers with strong backgrounds in fundamental engineering and design knowledge, which make them strong candidates for solving complex and multidisciplinary engineering problems. Many universities have embraced the need for multidisciplinary engineers and have developed interdisciplinary engineering design courses for many experience levels. Such courses build a foundation in engineering design through a unique series of lectures, real-world examples and projects, which utilize validated design tools and methodologies. This paper assesses the value of using design tools, web-based and downloadable, in undergraduate interdisciplinary design engineering courses. Six design tools are tested for their ability to increase the student’s knowledge of six design concepts. Also, the tools are evaluated for ease of use and if the different digital formats affect their educational impact. It was found that most students valued all the design tools and that the tools reinforced all but one design concept well. Quotes from the open-ended portion of the survey demonstrate the acceptance of the design tools and a general understanding of the importance of engineering design. The design tools, design concepts course goals, survey questions and survey results are discussed.


2015 ◽  
Vol 23 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Megan Kot ◽  
Heather Castleden ◽  
Graham A. Gagnon

A safe supply of drinking water is a cornerstone of public health and community well-being. Complacency among those responsible for the provision of safe drinking water (e.g., water suppliers, operators, and managers) has led to numerous and otherwise avoidable waterborne outbreaks. Water safety plans present a risk-based, proactive framework for water management, and when properly implemented, virtually eliminates the option for complacency. However, the uptake of water safety plans remain limited worldwide. This paper reports on the experiences of early water safety plan adopters and identifies a number of non-technical operational and human factors that have undermined previous efforts. Specifically, it identifies these factors as a gap in the water safety plan implementation literature and suggests incorporating the broader community in water safety planning through a community readiness approach. Assessing and building community readiness for water safety plans is suggested to be a critical pre-implementation step, and a potential tool for use by water suppliers and by policy makers.


2006 ◽  
Vol 7 (2) ◽  
pp. 189-202 ◽  
Author(s):  
Mariano Ramirez

PurposeThe paper intends to determine the extent to which environmental sustainability issues are integrated in the curricula of industrial design programs in Australian universities.Design/methodology/approachIndustrial design lecturers and program heads were invited to participate in a web‐based survey on their university's industrial design curricula. Online university handbooks were also examined to determine which courses cover sustainability aspects. Survey results were then tabulated and analysed using descriptive statistics.FindingsThe study shows that, while there is a concern that sustainable development issues are important and relevant to design courses, the permeation of environmental sensitivity through most industrial design curricula, and indeed among design academics, is only starting to gain ground. Comparative examination of the curricular structures in Australian universities offering degree programs in industrial and product design revealed that, on average, 12 out of every 100 credit points earned have sustainability content.Practical implicationsThe paper informs industrial design academics that much more work has to be done in order to educate the next generation of designers about their responsibilities to the planet and its people. It tells them where we currently are and the gaps that we have to bridge in order to achieve environmental sustainability.Originality/valueThe paper is original in the field of Australian industrial design education, and builds on work in other disciplines about incorporating sustainability aspects in tertiary education.


Author(s):  
Ryan Anderson ◽  
Paul Gannon ◽  
Carolyn Plumb

A transferable module is presented that brings sustainability topics into a core chemical engineering fluid dynamics course. A topic was chosen based on technical applicability to the course and currentdebate on the topic. In this case, hydraulic fracturing (‘fracking’) was chosen for the connection tocourse content (e.g. pumps, porous media flows) and its widespread debate in the United States. Onthe day of the activity, a guest instructor first surveyed the students with questions on theirunderstanding of and opinion on topics within fracking. The students were then shown two short videoson the topic, one from a science-focused group and one from an industrial proponent of the frackingtechnology. After the videos, students were sorted into five theme areas: science/technology,economics, policy, society, and the environment. These areas were chosen to highlight the breadth oftopics that must be engaged in order to approach such complex problems. Further, it is a move towardinterdisciplinary learning within engineering curricula where students consider broader societal themesas part of an engineering solution4. Students brought a research device for this day, and all students hadaccess to laptops or various smart phone devices. During the in-class activity, the students in theirgroups engaged in their own research on the topic using a variety of web-based sources. As they foundinformation relevant to their theme area, they took notes and then brought that into a groupaccumulation of relevant information. With this data compiled, one representative from each areasummarized salient points to the entire class. A course-wide (n ~ 40) discussion ensued with facilitationfrom the guest instructor. Beyond that day of integration, the course instructor aimed to show theimportance of such topics via three practices. First, the course objective ‘Students will analyzeengineering problems in the context of economics, technology, society, and the environment’ wasadded to the course syllabus along with ten other objectives focused on more traditional technicalcontent. Second, after the activity, a homework assignment was given on material balances and pumpsizing requirements associated with a typical hydraulic fracturing site to directly connect the technicalcourse content to the broader focus of the fracking activity. Lastly, a bonus problem on the final examasked students “If you were a landowner, would you allow hydraulic fracturing (fracking) on your land?Briefly explain your answer.” Select survey results from Fall 2017 are chosen to highlight students’ selfreportedunderstand of and support for fracking (pre-post responses), if the class-format was effectivein their learning, and open ended comments relating to changes in their opinion and the course format.The transferability of this module is discussed, along with ways to translate the concept to othercourses, such as into a heat transfer course via a nuclear power module.


2021 ◽  
Vol 5 ◽  
Author(s):  
Kaede Maeda ◽  
Hirofumi Hashimoto ◽  
Kosuke Sato

While the special needs education system in Japan has shifted from a segregated approach to a more inclusive one, the actual implementation of this approach may be less than ideal. The implementation of inclusive education faces several challenges, such as difficulty in meeting individual needs and lack of medical support systems in general school settings. With this in mind, we conducted a web-based survey of Japanese schoolteachers to empirically examine their attitudes and perceptions regarding inclusive education. We also sought to determine the socio-environmental and individual factors that affect the attitudes and perceptions of Japanese elementary and junior high school teachers regarding the implementation of inclusive education. Survey results showed that schoolteachers regard the idea of inclusive education as desirable, but not feasible. However, we found that schoolteachers' perceptions of the feasibility of inclusive education implementation were positively associated with their help-seeking preference if they perceived their climate as being sufficiently collegial. Based on these findings, we discuss the educational environment in which inclusive education could be successfully implemented.


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