Motivations and Experiences of Older Adult Volunteers in a Telehealth Nursing Simulation Activity

The COVID-19 pandemic has posed challenges to safely engaging older adults in volunteer activities. This research explored a unique partnership between a Retired Senior and Volunteer Program (RSVP) and a school of nursing to administer a telehealth virtual simulation training for nurse practitioner students. Semi-structured interviews were carried out with nursing simulation coordinators and volunteers after the telehealth simulation exercise. The purpose of this research was to identify principles of successful virtual volunteer engagement for telehealth simulations. This initial pilot study encompassed debriefing interviews with volunteers (N = 3) and interviews with simulation coordinators (N = 2). Three major themes emerged within the response coding: 1) the benefits of virtual simulation volunteering, 2) technology as a facilitating factor and challenge, and 3) unique volunteer management considerations. Both volunteers and coordinators noted that volunteers derived positive emotional benefits and new insights from their participation. Coordinators discussed the “authenticity” factor that older adults brought to the simulation experience as a benefit to engaging older adult volunteers. Technology sub-themes included accessibility considerations, experience with the online format, and other logistical considerations in conducting telehealth simulation. Volunteer management sub-themes encompassed volunteer skills and motivations, the perceived successful aspects of training, and improvements for future simulations. Volunteers discussed an interest and connection to healthcare and education as a motivating factor for their participation in the telehealth simulation. This small scale pilot research will be expanded through future simulation activities to continue to identify principles of practice for engaging older adults in virtual volunteerism.

Impact of COVID-19 on Oral and Dental Health Delivery and Recommendations for Continuation of Oral and Dental Health Services

COVID-19, which has caused a great panic by leaving millions of deaths in its wake worldwide, has affected the provision of oral and dental health services as in many fields. Especially dentists, who offer oral and dental health services by working in the oral region of the patients, are under a high risk of encountering the agent. This high risk has justifiably created a concern for them. Therefore, it has been quite challenging to provide oral and dental health services. In order to alleviate these concerns and to sustain oral and dental health services, many health organizations and institutions, especially the World Health Organization, have published recommendations and principles of practice, and announced financial support. In this section, we will examine the recommendations and practices regarding infection prevention and control measures by getting away from standard routine health service practices in order to be protected from COVID-19 epidemic and what areas they cover on a wide scale. By discussing the effects of these recommendations and practices on the provision of dental health services, we will try to determine the practices that will relieve concerns and are aimed at ensuring the provision of safe health services in terms of both patients’ health and health professionals’ health.

Facilitating person-centred leadership support during the Covid-19 crisis

Background: The Covid-19 crisis has created new and difficult working conditions for all frontline healthcare staff and leaders. Ward managers in particular have faced significant challenges. The practice development initiative described in this article began at a hospital in Denmark immediately after the country’s first Covid-19 wave. The hospital has person-centredness as its vision for care and research. Aim: The purpose of this article is to offer a reflection on the ways in which our research and its findings enabled us to learn from the experiences of ward managers so as to support them and strengthen their network during a difficult time, using principles of practice development. Conclusion and implications for practice: The evidence produced in the project was found to be relevant to leadership practice by the ward managers and led to a strengthened position at a time of crisis. This implies that: • It is possible to establish collaborative and useful evidence for clinical practice under difficult circumstances • By using principles of practice development it is possible to facilitate constructive dialogues between ward managers and executive managers • At a time of a major crisis, the role of ward managers should not be underestimated

The large group in training

This article studies the work of large groups in the training of group psychotherapists and is organized in two parts for sequential publication. We review the literature on the history and evolution of large groups in general, concentrating on those devoted to the large group in training, starting from the very first, Skynner’s, from which we take our title. The core of the paper explores the learning experience provided by the Large Training Group (LTG) serving students on the Diploma and Qualifying Courses at the Institute of Group Analysis, London (IGA). We describe the LTG from the standpoint of its staff and participating students over a period of some eight years; discuss the role of the staff sub-group in the evolution and co-creation of a particular discourse and we give special attention to the question of leadership and the role of the convener. Each of its two parts contains a vignette that is discussed in the light of the literature reviewed; and each contains a summarizing table, the first devoted to our principles of practice and the second to the primary purposes of the LTG and our staffing responsibilities.

CIRSE Clinical Practice Manual

Background Interventional radiology (IR) has come a long way to a nowadays UEMS-CESMA endorsed clinical specialty. Over the last decades IR became an essential part of modern medicine, delivering minimally invasive patient-focused care. Purpose To provide principles for delivering high quality of care in IR. Methods Systematic description of clinical skills, principles of practice, organizational standards and infrastructure needed for the provision of professional IR services. Results There are IR procedures for almost all body parts and organs, covering a broad range of medical conditions. In many cases IR procedures are the mainstay of therapy, e.g. in the treatment of hepatocellular carcinoma. In parallel the specialty moved from the delivery of a procedure towards taking care for a patient’s condition with the interventional radiologists taking ultimate responsibility for the patient’s outcomes. Conclusions The evolution from a technical specialty to a clinical specialty goes along with changing demands on how clinical care in IR is provided. The CIRSE Clinical Practice Manual provides interventional radiologist with a starting point for developing his or her IR practice as a clinician.

Application of IARTI and Ameliorating Principles to Improve Compliance and Completion of Treatment in General Dental Practice

Introduction: Many General Dental Practitioners run single handedly a mini-hospital. Practice administration, delivery of treatment and financial stewardship are all demanding with consequent induction of uncertainty, distress, and diminished performance, loss of satisfaction and unwelcome depression and anxiety. Aim: This contribution describes moderation of stresses in general dental practice by applying amelioration policies. Discussion: This advisory is targeted at all dentists involved in extensive dental therapy. The stress and anxiety of practice management is improved by applying newly established principles of practice, namely the Initial Assessment and Ranking of Treatment Index (IARTI) and What arrangements Have you made to meet your Oligations (WAHUM TOMYO), Immediate Payment Therapy (IPP) and Big Toe Philosophy (BTP). Conclusion: By applying these fundamental principles into general dental practice, much anxiety is relieved, challenges and problems are avoided or resolved and successful practice of dentistry is realized. A much higher frequency of failures will occur if these principles are not applied. Success does depend on applying IARTI and WAHUM TOMYO, IPP and BTP.

Evaluating the co-production of active ward principles in an inpatient setting: staff developments from using person-centred practice developmen

Background: In the acute hospital environment deconditioning is a major risk factor, with around 90% of the day spent sitting or lying down. A physiotherapy and occupational therapy Active Wards Special Interest Group was formed to provide peer support and act as a platform for sharing resources and ideas to increase opportunities for physical activity in the inpatient setting. Drawing on the nine principles of Practice Development, a person-centred, participatory approach was adopted. These values promote time and space for the team to grow and develop together, accounting for best evidence, personal and professional experience. The group co-produced a toolbox of resources, active wards principles and formed a group of experts to help others. Aim: To evaluate the experience of staff engaging in this work with the objective of learning from the experience and make recommendations for replication and continuation of the improvement process. Methods: Members of the special interest group and their team leads were invited to complete an online self-reporting questionnaire defining their experiences of participating in the group. Results: Engaging clinicians in improvement through person-centred practice development processes delivers benefits for patients, services and clinicians. Key findings for staff development were identified as significantly improved (response rate of 78%) through i) active learning principles used for meetings, ii) effective and diverse communication strategies, and iii) group cohesion by engaging in a practice-based initiative. Group members and team leads observed personal, professional and service development. Participants made new connections, had a sense of a common vision and felt part of a collaborative process where ideas and feedback were shared. Where changes in patient activity levels had been observed, at least two-thirds of teams attributed this to having a team member in the group. Conclusions and implications for practice: Clinicians require adequate time, space and support to achieve improvements When engaged with active learning and participatory approaches, clinicians make better use of meetings to develop and form principles of practice relevant to their clinical context and patient groups Engaging in person-centred practice development processes enables clinicians to develop transferable skills Practice development methods can be readily replicated for initiating and engaging clinicians in other practice-driven development projects

Relax into Yoga for Seniors: An Evidence-Informed Update for Enhancing Yoga Practice Benefits by Reducing Risk in a Uniquely Vulnerable Age Group

Teaching yoga to seniors is often considered an entry-level job for a yoga instructor since older adults are unlikely to attempt complicated, “advanced” postures. Unfortunately, this ill-informed attitude puts the most vulnerable students with the least-trained instructors who may unknowingly put their students at risk. Even experienced yoga instructors often do not understand the vulnerabilities of older adults, and many commonly taught yoga poses may present risks for seniors. This could explain why participants aged 65 and older have a greater rate of injury from practicing yoga when compared with other age groups. This article discusses the safety principles central to the Integrative Yoga for Seniors program. Offered since 2007 at Duke Integrative Medicine, this professional training for yoga instructors is designed to help yoga teachers enhance the benefits of yoga for their older adult students by learning how to work safely with the increasing number of seniors coming to yoga classes. Drawing on specific Principles of Practice that we developed to integrate the knowledge gained from Western medicine with yogic teachings, we offer our evidence-informed Relax into Yoga Safety Recommendations to help reduce risk and thus enhance effectiveness when teaching yoga to older adult beginners. We highlight two areas that pose the greatest risk of compromise to older adult students: cardiovascular disease and osteoporosis.