Heritage and Diversity: Values in European Heritage Management Reflected in Award-Winning Best Practices

The EU_CUL research network project, which is a collaboration of academics in heritage studies and in pedagogy, explored the use of cultural heritage for fostering social responsibility in higher education (Erasmus + project. In this context, research was conducted on inspirational examples and best practices in heritage management that include social and other societal values of heritage. This included award winning heritage practices in Europe. Heritage awards have, as a good practice assessment methodology, the potential to promote particular implemented practices. They can therefore help us find out what is considered ‘best practices’ in heritage management. An analysis of these practices also enables us to identify patterns, trends and potential biases. Sub-questions posed were: what is considered a ‘best practice’ in heritage awards? What kind of practices get these prizes and recognitions? What kinds of heritage are included and get the most attention? To what extent is the diversity of heritage, values and individuals in Europe represented? This chapter will discuss the results of this analysis of heritage awards and critically discuss the patterns that emerge and how this relates to governance and leadership in heritage management. The research is limited to Europe, it focuses on EAA and Europa Nostra, thus national prizes were not included.

Persepsi Tenaga Kesehatan terhadap Praktik Kolaborasi Interprofesional dalam Terapi Antibiotik pada Bedah Ortopedi

Kolaborasi interprofesional (Interprofessional Collaborative/IPC) menjadi strategi untuk menjawab kebutuhan akan pelayanan kesehatan yang terpadu. Dalam terapi antibiotik, praktik IPC yang efektif dapat meningkatkan ketepatan peresepan dan penggunaan antibiotik yang berdampak pada penurunan kejadian resistensi antibiotik. Agar tercipta praktik IPC yang efektif, perlu dilakukan identifikasi permasalahan yang ada dari persepsi tenaga kesehatan yang terlibat dalam IPC. Penelitian ini bertujuan menilai persepsi tenaga kesehatan terhadap praktik IPC dalam terapi antibiotik di unit bedah ortopedi. Penelitian ini merupakan penelitian observasional dengan pendekatan cross-sectional. Persepsi tenaga kesehatan dinilai menggunakan kuesioner Collaborative Practice Assessment Tool (CPAT) yang terdiri dari 8 domain dengan total 53 item pernyataan. Penelitian melibatkan 47 responden tenaga kesehatan di unit bedah ortopedi. Hasil penelitian menunjukkan terdapat perbedaan persepsi yang signifikan antara perawat dan tenaga kefarmasian terhadap domain hambatan tim dalam kolaborasi. Pada domain kepemimpinan terdapat perbedaan yang siginifikan antara tenaga kefarmasian dan dokter. Penelitian ini menyimpulkan secara umum, tenaga kesehatan menilai praktik IPC sudah berjalan dengan baik (76,47% dari skor maksimum CPAT).Perawat menilai otonomi mereka dalam IPC masih terbatas ( 52% dari skor maksimum domain hambatan tim dalam kolaborasi), serta tenaga kefarmasian menilai masih adanya dominasi tenaga kesehatan lain dalam praktik IPC (72% dari skor maksimum domain kepemimpinan)

Assessment of ability of medical and obstetric students to achieve adequate positive pressure ventilation using basic neonatal resuscitation manikins

Introduction. The ability to perform adequate positive pressure ventilation is necessary for neonatal clinical practice. However, there are few studies on the achievements of undergraduate students on this task. It is necessary to assess health science students’ adequate positive pressure ventilation because it is vital at the beginning of their clinical activity. Objective. To evaluate the cognitive and procedural ability related to adequate positive pressure ventilation performed by 6th year medicine students and 4th year obstetrics students at a public university in Lima, Peru. Methods. We surveyed 78 medical and obstetric students in their last years of studies within six months of taking a course on neonatal resuscitation that included positive pressure ventilation theory and practice. Participants voluntarily agreed to participate in this study. Previously, we validated the survey by asking three experienced neonatologists for their expert judgments on improving the survey. The survey consists of three theoretical questions as a cognitive assessment and three practice assessment criteria qualified by observing performance using neonatal manikins. Results. Medicine students had a better practical ability (p <0.001) than obstetrics students, and obstetrics students presented better theoretical knowledge (p = 0.019). However, both groups achieved limited performance within six months of taking the neonatal clinical practice course as 21.8% of all students passed both the theoretical and practical parts of this study. Conclusion. Participants from both schools require further training alternatives to achieve adequate positive pressure ventilation performance.

Development of air contioner split R32 trainer learning media in cooling and air conditioning engineering courses

This study aims to develop learning media for AC Split R32 in the subject of Refrigeration and Air Conditioning Engineering. The method used Research and Development (R&D), the model of research using the is Successive Approximation Models 1 (SAM). The model goes through iteration 1 (Evaluate 1, Design 1, Develop 1), iteration 2 (Evaluate 2, Design 2, Develop 2), and iteration 3 (Evaluate 3, and product implementation). The data collection method uses instruments in the form of observations, interviews, literature studies, and questionnaires that use a "Likert scale" for measurement the instrument. Based on the research analysis results, media trainers get an average of 76 in the "Very Eligible" category. Then the material results get an average of 63.5 which states that job sheets are in the "Very Eligible" category. Meanwhile, for the Feasibility Test on 30 student respondents, an average of 71.8 was obtained in the "Very Eligible" category. Meanwhile, based on the Performance Practice Assessment, the average result was 83.4 out of 10 students who practiced in the "Good" assessment category. Thus, based on the development research, the trainer and Job sheet can be used as learning media.

Establishment of Reliability of the Occupation-Based Practice Assessment

The profession’s foundational construct; occupation, is therapeutically effective, but there remains inconsistent use as a therapeutic medium. A psychometrically strong tool can measure and maximize the use of occupation. This study establishes preliminary psychometric properties of the Occupation-Based Practice Assessment (OBPA). This methodological study tested inter-rater reliability using simulated video cases to examine the OBPA. Overall reliability was acceptable with at .868. All subsections were acceptable including Meaning and Purposeful Occupation (.871), Therapeutic Intent (.819), and Engaged Participation (.807). Two items, Context (.946) and Actual Doing (.981), demonstrated excellent reliability; while three items, Meaning (.747), Adaptation (.799), and Participation (.735), fell slightly below the acceptable level. Preliminary investigation of the OBPA reveals acceptable inter-rater reliability and suggests potential for use following additional in-vivo testing to measure therapeutic interactions to enhance student learning, optimize clinical practice, facilitate professional development, evaluate programs, and quantify occupation-based practice in research.

Promotion of prostate cancer screening equity: A quality improvement education initiative.

140 Background: Black men are disparately affected by prostate cancer (PC). They are more likely to develop PC and at an earlier age when the disease is more advanced at diagnosis. As a result, Black men are two to three times more likely to die from PC than white men. Given these disparities, experts increasingly promote screening for PC in Black men at a younger age. Methods: To inform implementation of a quality improvement education (QIE) project in three primary care practices in Maryland, a zip code analysis of the prevalence of PC was performed. Maryland practices were selected due to higher rates of PC in regions of the state and significant Black populations (Table). The QIE initiative started with a baseline practice assessment survey (including information on panel size, patient demographics, PC screening/treatment approaches, and barriers) and an analysis of current PC screening rates. Health system leaders and champions from the practice sites received training on patient-centered conversations with high-risk Black patients and concerning QIE planning. The champions developed rapid cycle improvement plans to implement increased screening using a patient-oriented online educational platform ( Dr. PSA ), as well as posters, and placards for patient education. Results: The overall national prevalence of PC in Medicare Fee-for-Service Program beneficiaries in 2018 was 2.65%. For Black beneficiaries the overall prevalence was 2.89%. Prevalence for beneficiaries in specific Maryland zip codes are detailed in Table. *Data not available; Source: NMQF Prostate Cancer Index Baseline practice assessment data revealed that patient panels ranged from 4,000 to 58,163 patients, with Black patients accounting for 50% or more of two of the practices and 25 to 50% of the third practice. Barriers to screening identified include financial issues, insurance restrictions, and lack of knowledge about PC and screening. Baseline screening rates are approximately 75%. Conclusions: Zip code prevalence analysis and baseline practice assessment data confirmed the relevance of implementing a QIE initiative in the three selected sites. Through a mixed-methods evaluation study, practice staff knowledge, attitudes, and self-reported practices will be assessed pre- and post-QIE initiative to assess impact of the initiative and determine opportunities for further improvement in PC screening practices.[Table: see text]

Knowledge, Attitude and Practice of Proper Handling of a Face Mask during Pandemic of COVID - 19 amongst the General Population in Chennai – A Survey

Background: Facemasks have become a mandatory to prevent the pandemic spread of COVID-19. It can be utilized as part of a broader strategy to reduce transmission and save lives. However, there are several basic conditions for using masks that the general population is unaware of. People should be highly aware of the proper handling, usage and disposal of the facemask to prevent the spread. Aim: The aim of the study is to analyze the general public's knowledge, attitude, and practice of correct face mask handling during a covid-19 epidemic, with the hope of providing the essential awareness to prevent future worsening crises. Methods: The survey was conducted among general population. A total of 130 participants participated in the knowledge, awareness and practice assessment survey and the questionnaire was distributed online using Google survey forms. The data were collected, tabulated in excel and statistically analyzed using SPSS IBM version 20.0. Descriptive analysis & Pearson’s chi square test statistical analysis were performed. Results: The results of the study showed that majority of the population preferred to wear face mask and 81.5 % believed that facemasks provides protection against corona virus; 3.1 % participants did not agree and 15.4 % participants were in dilemma. Conclusions: Our results showed that some practices among young people could be regarded more appropriate than in the older people which quantify the need of more awareness campaign regarding the standardization, protocols, guidelines and strict implementation on the handling, usage and disposal of mask to minimize the pandemic spread.

Palliative care simulation for internal medicine trainees: development and pilot study

ObjectivesShape of training has recognised that ‘Managing End-of-Life and Applying Palliative Care Skills’ is a key competency for internal medicine trainees. It provides the opportunity and challenge to improve palliative care training for generalist physicians. Simulation has been recognised internationally as a holistic teaching and assessment method. This study aimed to produce a palliative medicine simulation training package for internal medicine trainees for delivery by palliative medicine trainees providing the former opportunity to practice assessment and management of patients with life-limiting illness and the latter teaching and management opportunities.MethodsA regional group of palliative medicine trainees were trained in simulation and debrief. Nominal and focus group techniques designed a simulation training package. Learning outcomes were mapped to the internal medicine curriculum descriptors.ResultsPalliative simulation for internal medicine trainees (PALL-SIM-IMT) is a training package meeting internal medicine trainees’ curriculum requirements. Regional pilots have demonstrated feasibility for delivery by palliative medicine trainees and improvement in recipients’ confidence in all curriculum descriptors.ConclusionsPALL-SIM-IMT can aid competency achievement for the provision of generalist palliative care by internal medicine trainees. It allows reciprocal development of palliative medicine trainees’ leadership and teaching skills. National adoption and evaluation is ongoing.