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Initial Efforts to Manage IPE during the COVID-19 Pandemic: Reports from the Big Ten Academic Alliance 2019冠状病毒病大流行期间IPE管理的初步努力:来自十大学术联盟的报告
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-06-29 DOI: 10.46743/1540-580x/2022.2157
Laura Smith, L. Romito, H. Congdon, F. Ascione, M. Fitzgerald, Kelly Karpa, A. Pfeifle, Brian Sick, H. Khalili
Purpose: The COVID-19 pandemic required higher education institutions to quickly transition to a virtual platform. This was challenging for those involved in interprofessional education (IPE), given the goal that students from two or more professions learn about, from, and with one another. The Big Ten IPE Alliance is a subgroup of the larger Big Ten Academic Alliance. The purpose of this paper is to share the collective experiences of multiple large, research intensive universities in addressing the challenge of implementing IPE programs under the conditions established by the COVID-19 pandemic. Methods: To better understand how the Big Ten schools dealt with the transition to virtual learning for didactic and clinical IPE given the COVID-19 pandemic, a subset of representatives from the Big Ten IPE Alliance met to discuss best practices for virtual learning in the IPE realm. Each participating university completed an electronic 14 question survey related to their IPE curriculum during the COVID-19 pandemic from March 2020 thru August 2020 and the responses were analyzed. Results: Four categories were identified as needing to be addressed to develop and implement successful interprofessional didactic and clinical experiences. The categories identified included content/assessment, virtual technologies, faculty and facilitators, and learners. Conclusions/Recommendations: Consider including authentic and innovative mechanisms to deliver IPE experiences that meet the learning needs and accreditation requirements. Interinstitutional collaborations such as within the Big Ten IPE Alliance can be beneficial in assessing current and future best practices in IPE.
目的:COVID-19大流行要求高等教育机构快速过渡到虚拟平台。这对那些从事跨专业教育(IPE)的人来说是一个挑战,因为他们的目标是让来自两个或两个以上专业的学生相互了解、相互学习、相互学习。十大国际政治经济学联盟是十大学术联盟的一个分支机构。本文的目的是分享多所大型研究型大学在应对2019冠状病毒病大流行条件下实施IPE项目挑战方面的集体经验。方法:为了更好地了解在COVID-19大流行的背景下,十大国际政治经济学联盟的一部分代表开会讨论了国际政治经济学领域虚拟学习的最佳实践,以应对教学和临床国际政治经济学向虚拟学习的过渡。从2020年3月到2020年8月,每所参与的大学都完成了一份与2019冠状病毒病大流行期间的国际政治经济学课程相关的14个问题的电子调查,并对反馈进行了分析。结果:四个类别被确定为需要解决的发展和实施成功的跨专业教学和临床经验。确定的类别包括内容/评估、虚拟技术、教师和辅导员以及学习者。结论/建议:考虑纳入真实和创新的机制,以提供满足学习需求和认证要求的IPE经验。诸如“十大国际政治经济学联盟”内部的机构间合作对于评估国际政治经济学当前和未来的最佳实践是有益的。
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引用次数: 0
Extended Scope Physiotherapists are Effective and Safe in the Emergency Department: A Systematic Review and Meta-Analysis 扩展范围物理治疗师在急诊科是有效和安全的:一项系统回顾和荟萃分析
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-06-29 DOI: 10.46743/1540-580x/2022.2130
Brittany Souter, Anne Jones, L. Sheppard, Michael Crowe
Purpose: Extended scope physiotherapists (ESPs) are an innovative approach to service delivery that have emerged in response to increasing pressures on emergency departments (EDs). While previous systematic reviews have suggested that ESPs have a positive impact on ED outcomes, clinical practice recommendations based on limited evidence highlight a pressing need for evaluation studies to truly determine their effectiveness and safety in this setting. Therefore, the objective of this systematic review and meta-analysis was to evaluate the clinical effectiveness and safety of ESPs when delivering services in EDs. Method: Systematic literature searches were conducted using the online databases: Medline (Ovid), CINAHL (EBSCOhost), Scopus, PEDro, Cochrane Library and Informit in October, 2019. Randomised controlled trials (RCTs) or cohort studies investigating the clinical effectiveness and safety of ESPs in EDs in comparison with usual ED medical care providers were eligible for inclusion. Data extraction was completed using a form specifically developed for the study. The quality of each study was assessed using the Crowe Critical Appraisal Tool (CCAT) as well as a subjective assessment of bias, and the level of evidence was graded using the National Health and Medical Research Council (NHMRC) evidence hierarchy. Random-effects model meta-analyses were conducted using Stata (version 16.1). Results: Eleven studies met the inclusion criteria for the systematic review. These studies provided III-1 to III-3 evidence, with quality scores ranging from 50% to 93%. Consistent positive results were found regarding ESP clinical effectiveness and safety with meta-analyses demonstrating significant reductions in wait time (Cohen’s d effect size: -0.54; 95% confidence interval [CI]: -0.64 to -0.45) and length of stay (Cohen’s d effect size: -0.79; 95% CI: -0.86 to -0.72) for patients managed by ESPs. Although, confounding of results by treatment urgency made it difficult to establish a clear causal link between ESP services and outcomes. Conclusion: Although it was not able to be suggested that ESPs are an appropriate substitute for usual ED medical care due to the presence of bias and confounding, the results highlighted that ESPs, as an additional staff member in EDs, improve throughput and access to care for patients in lower urgency triage categories.
目的:大范围物理治疗师(esp)是一种创新的服务提供方法,是为了应对急诊科(ed)日益增加的压力而出现的。虽然以前的系统综述表明,esp对ED的预后有积极影响,但基于有限证据的临床实践建议强调,迫切需要进行评估研究,以真正确定其在这种情况下的有效性和安全性。因此,本系统综述和荟萃分析的目的是评估esp在急诊科提供服务时的临床有效性和安全性。方法:系统检索2019年10月Medline (Ovid)、CINAHL (EBSCOhost)、Scopus、PEDro、Cochrane Library和Informit等在线数据库的文献。随机对照试验(RCTs)或队列研究调查了在急诊科使用esp与普通急诊科医疗服务提供者的临床有效性和安全性,符合纳入条件。数据提取使用专门为研究开发的表格完成。每项研究的质量均采用Crowe关键评估工具(CCAT)和主观偏倚评估进行评估,证据水平采用国家卫生与医学研究委员会(NHMRC)证据等级进行分级。使用Stata (version 16.1)进行随机效应模型荟萃分析。结果:11项研究符合系统评价的纳入标准。这些研究提供了III-1至III-3级证据,质量评分从50%到93%不等。在ESP临床有效性和安全性方面,meta分析显示等待时间显著减少(Cohen效应值:-0.54;95%置信区间[CI]: -0.64至-0.45)和住院时间(科恩效应值:-0.79;95% CI: -0.86至-0.72)。然而,由于治疗的紧迫性,结果的混淆使得ESP服务与结果之间难以建立明确的因果关系。结论:虽然由于存在偏倚和混杂因素,不能认为急诊急救员是普通急诊科医疗护理的适当替代品,但结果强调,急诊急救员作为急诊科的一名额外工作人员,可以提高急诊分诊类别患者的吞吐量和获得护理的机会。
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引用次数: 0
Development of a Digital Health Capability Framework for Allied Health Practitioners: An Australian First 联合医疗从业者数字健康能力框架的发展:澳大利亚第一
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-06-29 DOI: 10.46743/1540-580x/2022.2234
Nikki Littlewood, S. Downie, A. Sawyer, Kathleen Feely, Dhruv Govil, Britt Gordon
Background: The value of digital health technologies and their contribution to high-quality and safe clinical care and enhanced health patient experience and outcomes is well established. Digital health technologies are increasingly being used by Victorian allied health professionals (AHPs) in routine service delivery, the uptake of which has been significantly accelerated by the impact of the coronavirus (COVID-19) pandemic. Objectives: This case study outlines the development of a capability framework to support Victorian AHPs, health services, other employers, and university training partners to measure and expand digital health capability at individual practitioner and workforce levels. Methods: A mixed-methods approach to the development of digital health and clinical informatics capabilities and the resultant framework is described, consisting of five phases: (i) a literature/scoping review to identify existing frameworks (ii) expert panel interviews, (iii) thematic analysis of interview themes, (iv) user testing and feedback and, (v) revision based on feedback. Results: This approach proved successful in managing key challenges that emerged during the project, as well as identifying potential barriers and enablers to longer term framework adoption, implementation, and maintenance. Conclusion: This study describes a mixed-methods approach to the development of an Australian-first, Allied health digital health capability framework to address knowledge and skills development at individual practitioner and workforce levels. This case study highlights the need for targeted education and training resources to support the health workforce to build capability in the application and use of digital health technologies. In developing a digital capability framework specific to the allied health workforce, the importance of stakeholder consultation in the early identification of barriers and enablers to potential uptake and implementation is also reinforced.
背景:数字卫生技术的价值及其对高质量和安全的临床护理以及增强患者健康体验和结果的贡献已得到充分证实。维多利亚州专职卫生专业人员(ahp)越来越多地在日常服务中使用数字卫生技术,冠状病毒(COVID-19)大流行的影响大大加快了对数字卫生技术的采用。目标:本案例研究概述了能力框架的开发,以支持维多利亚州ahp、卫生服务、其他雇主和大学培训合作伙伴在个体从业者和劳动力水平上衡量和扩展数字卫生能力。方法:描述了数字健康和临床信息学能力发展的混合方法方法以及由此产生的框架,包括五个阶段:(i)文献/范围审查,以确定现有框架;(ii)专家小组访谈;(iii)访谈主题的专题分析;(iv)用户测试和反馈;(v)基于反馈的修订。结果:该方法在管理项目期间出现的关键挑战,以及识别长期框架采用、实现和维护的潜在障碍和推动因素方面被证明是成功的。结论:本研究描述了一种混合方法,用于开发澳大利亚优先的联合健康数字健康能力框架,以解决个体从业者和劳动力水平的知识和技能发展问题。本案例研究强调需要有针对性的教育和培训资源,以支持卫生人力建设应用和使用数字卫生技术的能力。在制定专门针对联合卫生人力的数字能力框架时,还强调了与利益攸关方磋商在早期识别潜在吸收和实施的障碍和推动因素方面的重要性。
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引用次数: 0
Prevalence of Sexual Harassment Toward and Burnout Among Allied Healthcare Professionals 联合医疗保健专业人员的性骚扰患病率和职业倦怠
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-06-29 DOI: 10.46743/1540-580x/2022.2186
S. Cage, Meredith Decker, Brandon J. Warner, Kendall Goldberg, D. Gallegos, Julianne Goza
Purpose: Burnout is a psychological cognitive-affective syndrome that is defined by emotional exhaustion, depersonalization, and reduced accomplishment. Burnout has been identified as a common issue in several allied healthcare professions, and is often contributed to by stress, workload, and social support. At the time of this study, there appears to be no published research on the relationship between levels of sexual harassment and levels of burnout. The purpose of this was to describe the prevalence of burnout and sexual harassment among allied healthcare professionals and students. A secondary purpose was to examine the potential relationship between sexual harassment and burnout among allied healthcare professionals and students. Methods: A total of 173 allied healthcare professionals and students (age= 43 ± 13, years of certified experience = 17 ± 12) opened and completed the instrument. Participants were sent an electronic survey via email that collected demographic information and assessed levels of burnout and sexual harassment. Data was downloaded and analyzed using a commercially available statistics package. Results: On average, allied healthcare professionals and students were at risk of burnout. There was a significant positive correlation between levels of burnout and sexual harassment. Additionally, females were significantly more likely to report workplace sexual harassment than males. Conclusions: The findings of this study suggest, on average, allied healthcare professionals and students are at risk of burnout. The findings also suggest that female allied healthcare professionals and students are more likely to experience burnout as a result of workplace sexual harassment. There is an evident need for employers to enhance policies and procedures to reduce and eliminate the occurrence of sexual harassment in the workplace. Doing so has the potential to reduce the risk of burnout among female allied healthcare professionals and students.
目的:职业倦怠是一种心理认知-情感综合症,其特征是情绪耗竭、人格解体和成就感降低。职业倦怠已被确定为几个联合医疗保健专业的共同问题,通常是由压力、工作量和社会支持造成的。在进行这项研究时,似乎还没有发表过关于性骚扰程度和倦怠程度之间关系的研究。本研究的目的是描述专职医疗保健专业人员和学生中职业倦怠和性骚扰的流行程度。第二个目的是研究专职医疗保健专业人员和学生中性骚扰和职业倦怠之间的潜在关系。方法:173名专职医护人员和学生(年龄= 43±13岁,执业经验= 17±12年)打开并完成仪器。参与者通过电子邮件发送了一份电子调查,该调查收集了人口统计信息,并评估了倦怠和性骚扰的水平。数据已下载,并使用市售统计软件包进行分析。结果:平均而言,专职医护人员和学生有职业倦怠的风险。倦怠程度与性骚扰之间存在显著的正相关。此外,女性报告工作场所性骚扰的可能性明显高于男性。结论:本研究结果表明,平均而言,专职医护人员和学生有职业倦怠的风险。研究结果还表明,女性专职医疗保健专业人员和学生更容易因工作场所性骚扰而感到倦怠。雇主显然需要加强政策和程序,以减少和消除工作场所性骚扰的发生。这样做有可能降低女性专职医疗保健专业人员和学生的职业倦怠风险。
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引用次数: 0
理学療法とオートポイエーシス 物理治疗与自动疗法
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-04-01 DOI: 10.15563/jalliedhealthsci.13.39
義哉 村部
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引用次数: 0
地域包括ケア病棟の適切な管理を目的とした後方視的研究 リハビリテーションの実施に与える要因の検討 以适当管理区域全面护理病房为目的的后视研究,探讨对实施康复治疗的因素
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-04-01 DOI: 10.15563/jalliedhealthsci.13.31
卓生 野村, 誠 井垣, 祐代 栗田, 広海 福富
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引用次数: 0
Physical function of outpatients and inpatients on dialysis who received physical therapy: an exploratory, crosssectional study by JSPTDM 接受物理治疗的门诊和住院透析患者的身体功能:JSPTDM的探索性横断面研究
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-04-01 DOI: 10.15563/jalliedhealthsci.13.10
Kono Kenichi, Igaki Makoto, T. Nomura, Kohei Mori, Koji Hiraki, H. Hayashi, Nobuhide Kawabe, Katsura Mizoguchi, Shuhei Fujimoto, Y. Tamura
Objective: Hospitalization for conditions including cardiovascular diseases, infections, orthopedic diseases, and cerebrovascular diseases is responsible for the decline in activities of daily living (ADLs) in patients on dialysis. Rehabilitation during hospitalization helps these patients recover their physical function, resume ADL, and ultimately resume regular outpatient dialysis. However, the actual physical condition of patients on dialysis who are prescribed and require physical therapy has not been reported. Hence, we elucidated the actual physical condition of outpatients and inpatients on dialysis who were prescribed physical
目的:因心血管疾病、感染、骨科疾病和脑血管疾病住院治疗是透析患者日常生活活动(ADLs)下降的原因。住院期间康复帮助这些患者恢复身体功能,恢复日常生活自理,最终恢复常规门诊透析。然而,透析患者的实际身体状况,谁是处方和需要物理治疗尚未报道。因此,我们阐明了门诊和住院透析患者的实际身体状况
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引用次数: 0
The association of dynapenia with whether participants were subject to long-term care prevention or not in the Japanese long-term care insurance system: A pilot study 日本长期护理保险制度中,运动障碍与受试者是否接受长期护理预防的关系:一项试点研究
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-04-01 DOI: 10.15563/jalliedhealthsci.13.1
Masaki Iwamura, Suguru Ando, Yosuke Yamato, Hiroyuki Kajimoto, Chikako Maeda, K. Shinbo, Wataru Nanikawa, Hitoshi Kumada
Objective: The purpose of this study was to investigate the association of dynapenia, determined by lower limb muscle strength, and sarcopenia with whether participants were subject to long-term care prevention (LCP) in the Japanese long-term care insurance system. Methods: This was a cross-sectional study. The participants were 108 older adults (78.1±7.1 years, male=20), including 45 older adults who were subject to LCP (82.8±5.4 years, male=6) and 63 healthy older adults (74.7±6.2 years, male=14). Age, sex and comorbidities were collected as basic information. Height, weight, and muscle mass were measured as body composition, and grip strength, lower limb muscle strength, and gait speed were measured as physical functions. Sarcopenia was determined according to the definition of Asian Working Group for Sarcopenia in 2019. Dynapenia was determined using lower limb muscle strength. For the statistical analysis, the analysis was divided into two groups according to whether participants were subject to LCP or not. Next, we divided the participants into two groups, sarcopenia and dynapenia, and compared their physical characteristics and classification of LCP. Lastly, we used logistic regression analysis with dynapenia and sarcopenia as independent variables; age and gender as adjustment factors, and whether to undergo LCP as the dependent variable. Results: Dynapenia and sarcopenia were present in 17% and 26% of the participants. As a result of examining the association of dynapenia and sarcopenia with whether participants were subject to LCP or not, only dynapenia was found to be a significantly related factor (odds ratio: 4.6, P value: 0.025). Conclusion: Dynapenia was more closely related to whether participants were subject to LCP or not than sarcopenia. Submitted Sep. 17. 2021 Accepted Jan. 12. 2022 *Correspondence Masaki Iwamura, PT, PhD Department of Physical Therapy, Faculty of Health Science, Aino University E-mail: m-iwamura@pt-u.aino.ac.jp
目的:本研究的目的是调查动力不足(由下肢肌肉力量决定)和肌肉减少症与参与者是否在日本长期护理保险体系中接受长期护理预防(LCP)的关系。方法:采用横断面研究。研究对象为老年人108例(78.1±7.1岁,男=20),其中LCP组老年人45例(82.8±5.4岁,男=6),健康老年人63例(74.7±6.2岁,男=14)。收集年龄、性别和合并症作为基本信息。测量身高、体重和肌肉质量作为身体组成,测量握力、下肢肌肉力量和步态速度作为身体功能。肌少症是根据2019年亚洲肌少症工作组的定义确定的。用下肢肌力测定运动障碍。为了进行统计分析,根据受试者是否接受LCP,将分析分为两组。接下来,我们将参与者分为肌肉减少症和动力减少症两组,比较他们的身体特征和LCP的分类。最后,我们使用logistic回归分析,以动力不足和肌肉减少症为自变量;年龄、性别为调整因素,是否接受LCP为因变量。结果:17%和26%的参与者存在动力不足和肌肉减少症。通过检查运动障碍和肌肉减少症与参与者是否接受LCP的关系,发现只有运动障碍是一个显著相关因素(优势比:4.6,P值:0.025)。结论:与肌少症相比,动力不足与LCP是否存在更密切的关系。9月17日提交。2021年1月12日录取。2022 *通信Masaki Iwamura, PT,博士爱野大学健康科学学院物理治疗系E-mail: m-iwamura@pt-u.aino.ac.jp
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引用次数: 1
自動音声認識を用いた単音節明瞭度評価の検討 使用自动语音识别的单音节清晰度评价的讨论
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-04-01 DOI: 10.15563/jalliedhealthsci.13.16
禎輝 明﨑, 聡 池, 智幸 上松, 梨佐 光内, 一樹 有光, 康嗣 平賀, 雅史 金久
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引用次数: 0
高次脳機能障害者の主介護者が抱える介護負担感についての 事例考察 高级脑功能障碍者的主要护理者的护理负担感的事例考察
IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-04-01 DOI: 10.15563/jalliedhealthsci.13.23
伸弥 壹岐, 康介 平田, 朝恒 知花, 智也 石垣, 達也 尾川, 琢也 川口
{"title":"高次脳機能障害者の主介護者が抱える介護負担感についての 事例考察","authors":"伸弥 壹岐, 康介 平田, 朝恒 知花, 智也 石垣, 達也 尾川, 琢也 川口","doi":"10.15563/jalliedhealthsci.13.23","DOIUrl":"https://doi.org/10.15563/jalliedhealthsci.13.23","url":null,"abstract":"","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"33 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73765795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Internet Journal of Allied Health Sciences and Practice
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