Between the Tides: Developing an Indigenous-Informed Cultural Safety Training Impact Assessment Survey Tool for Post-Secondary Institutions on Vancouver Island, BC

This paper highlights the development of an Indigenous Cultural Safety Training (ICST) impact assessment survey tool working in collaboration with Indigenous leaders, Elders, faculty, staff, and students from across four post-secondary institutions on the traditional lands of the Songhees, Esquimalt and WSÁNEĆ Peoples on Vancouver Island, British Columbia. What emerged from a series of Indigenous-led workshops was the development of an ICST impact assessment survey tool to measure the impact of the training as well as for ICST participants to reflect on their own cognitive and behavioural change within their practice over a 12-month period. In addition, a validation process with ICST experts, facilitators, staff, faculty, Elders, and participants was carried out to help refine the proposed co-constructed assessment variables, statements, and questions underpinning the survey tool. The finalized ICST impact assessment survey tool will not only improve the quality of ICST in post-secondary settings, but will also enable staff, faculty, and leaders to reflect on how the ICST improves their personal and professional practice working with Indigenous students in these settings.

Assessing Preparedness of Labor and Delivery Personnel in Transferring to a New Unit

Objectives: This case study intends to examine how staff characteristics, training methods, and duration of training impact overall staff preparedness and comfortability when transitioning to a new Labor and Delivery. Background: A new medical facility offers an opportunity for greater capacity and expanding services, but it also poses new challenges for staff. Success in this transition depends on how quickly the staff can adapt to their new environment and how prepared they are to deliver high-quality care to patients. Methods: An optional survey was conducted to determine the staff’s confidence in their training using a 5-point Likert-type scale. Results: After responses were collected, a paired samples two-sided t test revealed that there was no statistically significant change in the confidence and preparedness for staff. Conclusions: With this overall outcome, medical facilities will have more discernment on ways to improve their employees’ trust and confidence in performing their tasks and providing care while in a new environment. This will then be reflected in the care given toward patients in the future.

Cardiopulmonary Loading and COVID-19: Training Impact during Lockdown among Athletes of Tertiary Learning Institutions in Masvingo, Zimbabwe

Physiological, psycho-social and emotional parameters are critical skill and technical performance motifs in sports endeavors. Despite their noteworthy basis for high-quality athletic efficiencies, training and psycho-social deficiencies are inevitable challenges for athletes in competitive locales. This prospective cohort study adopted the quantitative approach. Its population was 200 participants with a sample of 25 coaches and 50 players drawn from selected tertiary institution teams in Masvingo Province. Study participants were drawn using stratified random sampling. Its thrust was to establish the impact of COVID-19 for return-to-sport athletes during lockdown restrictions. Further, it explored cardiological implications of cardiopulmonary loading parameters among athletes with Severe Acute Respiratory Syndrome-oriented pulmonary ailments and non-diseased group. An adapted updated version of the Oslo Sports Trauma Research Centre questionnaire was used for data collection. Emerging findings revealed substantial disruption of training normalcy from lockdown restrictions. Players risked injury sustenance from solitude unsupervised workouts. Further, high cardiopulmonary loading intensities compromised health conditions of athletes with COPD-related ailments than the non-diseased group. Moreover, athletes reported major physiological and psycho-social retardation trends upon return-to-sport fora from COVID-19 lay-off restrictions. Creating online digital coaching bionetwork websites could substantially enhance ‘Work from Home’ training environments. Digital health support synergies through virtual tele-health conferences and video/zoom forums could further provide practical resolutions for athletes’ physiological and psycho-social parameters. Moderate to high intensity aerobic indoor training regimes could serve to attenuate retardation of quality skeletal tenacity and capacitate cardio-pulmonary activities from the effects of COVID-19 restrictions. SARS-oriented athletes require appropriately designed training regimes that are within their motoric aptitudes to avoid compromising their cardiopulmonary-related ailments. This allows for gradual alterations of physiological body processes from the onset of training workouts.

Basketball Data Analysis Using Spark Framework and K-Means Algorithm

With the rapid development, different information relating to sports may now be recorded forms of useful big data through wearable and sensing technology. Big data technology has become a pressing challenge to tackle in the present basketball training, which improves the effect of baseball analysis. In this study, we propose the Spark framework based on in-memory computing for big data processing. First, we use a new swarm intelligence optimization cuckoo search algorithm because the algorithm has fewer parameters, powerful global search ability, and support of fast convergence. Second, we apply the traditional K-clustering algorithm to improve the final output using clustering means in Spark distributed environment. Last, we examine the aspects that could lead to high-pressure game circumstances to study professional athletes’ defensive performance. Both recruiters and trainers may use our technique to better understand essential player’s qualities and eventually, to assess and improve a team’s performance. The experimental findings reveal that the suggested approach outperforms previous methods in terms of clustering performance and practical utility. It has the greatest influence on the shooting training impact when moving, yielding complimentary outcomes in the training effect.

Coach training: Impact beyond coach training

The aim of this study is to know the impact of coach training on coaches' personal and professional lives in various areas of development. A self-report questionnaire and an interview methodology were used to collect data using a within-subject design. The results of the study show that there is a significant improvement in the various areas of development impacting both the personal and professional life of the coach in a positive manner. The practical implications of the study are further discussed.

Spirituality and religion in residents and inter-relationships with clinical practice and residency training: a scoping review

ObjectivesWith the increased emphasis on personalised, patient-centred care, there is now greater acceptance and expectation for the physician to address issues related to spirituality and religion (SR) during clinical consultations with patients. In light of the clinical need to improve SR-related training in residency, this review sought to examine the extant literature on the attitudes of residents regarding SR during residency training, impact on clinical care and psychological well-being of residents and SR-related curriculum implemented within various residency programmes.DesignA scoping review was conducted on studies examining the topic of SR within residency training up until July 2020 on PubMed/Medline and Web of Science databases. Keywords for the literature search included: (Spirituality OR Religion) AND (Residen* OR “Postgraduate Medicine” OR “Post-graduate Medicine” OR “Graduate Medical Education”).ResultsOverall, 44 studies were included. The majority were conducted in North America (95.5%) predominantly within family medicine (29.5%), psychiatry (29.5%) and internal medicine (25%) residency programmes. While residents held positive attitudes about the role of SR and impact on patient care (such as better therapeutic relationship, treatment adherence and coping with illness), they often lacked the knowledge and skills to address these issues. Better spiritual well-being of residents was associated with greater sense of work accomplishment, overall self-rated health, decreased burnout and depressive symptoms. SR-related curricula varied from standalone workshops to continuous modules across the training years.ConclusionsThese findings suggest a need to better integrate appropriate SR-related education within residency training. Better engagement of the residents through different pedagogical strategies with supervision, feedback, reflective practice and ongoing faculty and peer support can enhance learning about SR in clinical care. Future studies should identify barriers to SR-related training and evaluate the outcomes of these SR-related curriculum including how they impact the well-being of patients and residents over time.

Improving Bereavement Outcomes in Zimbabwe: Results of a Feasibility Cluster Trial of the 9-Cell Bereavement Tool

ContextDespite high mortality rates from both communicable and non-communicable diseases, bereavement studies are under-researched in African countries. The 9-cell bereavement tool was designed to assist individuals to reflect on their feelings in bereavement, and identify resources in families and communities to manage bereavement. This study aimed to determine the feasibility of implementing the 9-cell bereavement tool and recruitment to experimental evaluation. Methods: A feasibility cluster randomized trial with embedded qualitative interviews was conducted in two comparable neighborhoods in Chitungwiza, Zimbabwe. Community leaders identified potential community lay bereavement supporters (interventionists). Each recruited 2-3 recently bereaved community members (trial participants). Following baseline data collection, the communities were randomly allocated to intervention or wait-list control. Self-administered questionnaires were completed at T0 (month 0), T1(3 months) and T2 (6 months). Grief, mental health and social support were assessed. Focus group discussions with selected interventionists described training impact and intervention processes. Quantitative and qualitative analysis were performed. ResultsObjectives were achieved as follows(i) feasibility of recruitment and retention (ii) feasibility of implementing the intervention (iii) determining contamination(iv) completeness of data(v) participants’ views on intervention and mechanisms(vi) estimating potential effect size (vii) determining whether full trial warranted. In line with the aim of the study, the processes of the randomized cluster trial were possible. We successfully conducted the randomized control trial of the 9-cell bereavement tool and successfully recruited study participants. In addition, the 9-cell intervention allowed interventionists to share and learn from their grieving process. All of the above was conducted within the intended timeframe of 3 weeks, with an over recruitment of 112% of interventionists and 43% more trial participants. This means we were able to recruit at least 75% of the suggested sample size; and to retain at least 75% of the trial participants for the total duration of the study. Conclusion The processes of the randomized controlled trial were possible. The 9-cell bereavement intervention was delivered and process data assessed. The study was funded through the BuildCARE fund from the Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation Protocol Registration: http://www.isrctn.com/ISRCTN16484746.Protocol Publication: https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-019-0450-5