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Identifying the factors influencing engagement in research capacity and culture (RCC) in hand therapy practice is essential to inform strategies to support contributions to high-quality research and its implementation in clinical practice. However, the RCC of clinicians providing hand therapy services in Australia has not been investigated. This study aimed to measure RCC among hand therapists in Australia to identify perceived barriers, motivators, and skills related to undertaking research. Cross-sectional survey. All Australian Hand Therapy Association members were invited to complete the RCC tool, which includes three domains: i) individual, ii) professional group (team), and iii) organization. One hundred twenty-two therapists (13.6% response rate) completed the survey. Survey findings indicate that the RCC of hand therapists in Australia is relatively low across all RCC domains, with scores on these items being either moderate or low. The findings from this study suggest that the areas or skills that respondents felt most confident with were more closely aligned to the clinical skills required as evidence-based practitioners, compared to other skills more closely aligned with the clinician-researchers, such as data analysis or writing proposals. Hand therapists in Australia may not possess the research experience or skills required to confidently complete a range of research-related activities. Future support strategies should focus on improving hand therapist knowledge and confidence regarding common research tasks and provide funding and mentoring for additional hand therapist clinician-researcher roles. • Research capacity and culture of hand therapists in Australia is relatively low. • Respondents least confident in skills of data analysis and grant writing. • Support strategies should focus on improving skills in common research tasks. [ABSTRACT FROM AUTHOR]

As the global healthcare system evolves, diagnostic radiographers (DRs) are taking on advanced roles, constituting advanced radiography practice. This study explored the definition of ARP tasks among DRs, radiology department managers (RDMs), and National Society Officers (NSOs) on a global scale. Data collection was obtained via a self-developed online survey administered via email and social media to DRs, RDMs, and NSOs. The survey sought to collect demographic data, insights into definition of ARP tasks, and perceptions regarding global practice. 206 respondents from 25 countries participated, predominantly from Norway (n = 77), Australia (n = 34), and Portugal (n = 20). 71.7 % of DR respondents defined teaching as ARP task, while RDMs (74.2) and NSOs (88.8 %) identified approving image quality independently as ARP. 53.4 % of DRs perceived their practice as ARP-aligned, with awareness reported by 44.8 % of DRs, 66.7 % of RDMs, and 77.8 % of NSOs. This study provides a clearer understanding of the task respondents consider ARP and the extent to which it is practiced, whereas DRs are increasingly performing advanced tasks globally. Clarifying ARP tasks in the workplace will promote a common understanding of the role and foster support for its establishment in diagnostic radiography. Further research is required to gather a more comprehensive international perspective on ARP tasks, especially given the limitations of this study, as well as the limited responses from the Americas and African regions. Clear definitions of ARP tasks are necessary for seamless integration of ARP into current practices. Additionally, advocating for official recognition, and global acknowledgement by the profession and key stakeholders are imperative for DRs to fully develop in these areas. [ABSTRACT FROM AUTHOR]

To issue recommendations for reduced energy consumption in controlled environment zones (CEZ) in operating theaters and interventional sectors. A committee bringing together seven experts from the SFAR, AFC, SF2H, ASPEC and SOFCOT was convened by CERES. A conflict-of-interest statement was developed at the beginning of the process and enforced throughout the elaboration of the reference document. The experts received no financing from any company commercializing a healthcare product (medicine or medical device). The committee was called upon to follow and respect the GRADE® (grading of recommendations assessment, development and evaluation) method to evaluate quality of the factual data on which the recommendations were based. We analyzed the relevant literature and formulated the recommendations in accordance with the GRADE® methodology by identifying three different fields. Each question was formulated in accordance with the PICO (patients, intervention, comparison, outcome) format. The experts' attempts at synthesis and application of the GRADE® method led to 16 recommendations. In cases where GRADE® method could not be applied, the recommendations were formulated as expert advice. Once strong agreement among the experts had been reached, we formulated 15 recommendations for decreased energy consumption and reduced environmental impact in the controlled environment zones of operating theaters and interventional sectors. [ABSTRACT FROM AUTHOR]

There has been limited evaluation of surgeon-specific factors on outcomes after total shoulder arthroplasty (TSA). The goals of this study were (1) to determine the impact of surgeon procedural volume, career duration, practice type, and fellowship training on TSA outcomes at 2-year follow-up and (2) to evaluate the relative importance of surgeon variables in relation to patient variables in influencing outcomes. The PearlDiver Mariner database was queried to identify all surgeons who performed a minimum of 11 TSA procedures from 2010 to 2018. An Internet search of publicly available data was performed to determine the career duration, practice type, and fellowship training of each surgeon. Multivariate logistic regression models were built to determine the relationship between surgeon-specific variables and 2-year surgical complications and revisions and 90-day readmissions. Variable importance of patient-specific and surgeon-specific factors was determined by the Akaike information criterion increase of these models. A total of 2188 surgeons who performed 93,122 TSA procedures were identified in this database. Higher reverse TSA surgical volume was associated with fewer surgical complications and revisions, although such a relationship was not observed for anatomic TSA. Revision after anatomic TSA was more common among surgeons who were in their first 5 years of practice. There was a higher risk of surgical complication and readmission among academic surgeons, but this did not equate with a higher risk of revision. The impact of these surgeon-specific factors on outcomes was small in relation to patient-level variables, such as age, sex, and number of medical comorbidities. Surgeon procedural volume, career duration, and practice setting influence the surgical complication, revision, and readmission rates after TSA. The impact of surgeon factors was small relative to patient variables, highlighting the importance of patient selection in mitigating adverse outcomes. [ABSTRACT FROM AUTHOR]

Health Impact Assessment (HIA) is an evidence-based approach to assess the likely public health impacts of a policy or plan in any sector. Several HIA frameworks are available to guide practitioners doing a HIA. This systematic review sought to determine whether these support practitioners to meet best practice principles defined by the International Association for Impact Assessment. This was a systematic review. Three complementary search strategies were used to identify frameworks in June 2022. We used three databases to find completed HIAs published in the last five years and hand-searched their reference lists for frameworks. We also searched 23 HIA repositories using Google's Advanced function and contacted HIA practitioners via two international mailing lists. We used a bespoke quality appraisal tool to assess frameworks against the principles. The search identified 24 HIA frameworks. None of the frameworks achieved a 'good' rating for all best practice principles. Many identified the principles but did not provide guidance on how to meet them at all HIA steps. The highest number of frameworks were rated 'good' for ethical use of evidence and comprehensive approach to health (n = 15). Eight frameworks were rated as 'good' for participation, and two for equity. The highest number of frameworks rated 'poor' for sustainability (n = 11). There is marked variation in the degree to which HIA frameworks support the best practice principles. HIA practitioners could select elements from different frameworks for practical guidance to meet all the best practice principles. [ABSTRACT FROM AUTHOR]

Describe the adaptation, implementation, and perceptions of Kids SIPsmartER's classroom component during the coronavirus disease-impacted 2020–2021 school year. Mixed methods process evaluation. Seven rural Appalachian middle schools (US). Middle-school teachers (n = 14) and principals (n = 6). Kids SIPsmartER was a multilevel, school-based intervention designed to decrease sugar-sweetened beverage intake. The 12-lesson classroom component was supported by an implementation protocol. Implementation protocol adaptations, program perceptions, and the school context were assessed using teacher and principal interviews, teacher-completed fidelity checklists, and researcher-maintained field notes. Adaptations were mapped to the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME). Qualitative data were content coded. Quantitative data were summarized using descriptive statistics. All schools maintained Kids SIPsmartER and delivered 100% of lessons. Ten adaptations were made to the implementation protocol. Schools used adapted delivery approaches to meet individual needs. Teachers and principals identified more benefits than barriers to implementing the program. Using a strategically adapted implementation protocol that was flexible to schools' individual needs allowed all middle schools to deliver Kids SIPsmartER during the 2020–2021 school year. Findings identify adaptation considerations that other school-based evidence-based interventions could incorporate to facilitate delivery during high-stress times. [ABSTRACT FROM AUTHOR]

To identify common themes of the meaning of food among people who identify with a specific religious tradition, particularly focusing on potential applications for nutrition education and professional practice at multiple levels of the Social-Ecological Model. Virtual and in-person focus groups were used to collect qualitative data. A midsized city in eastern Washington State. Nine focus groups (n = 35), each representing a distinct religious congregation. Meaning of food in the context of religion. Qualitative, reflexive thematic analysis using web-based software to organize data. Four key themes were identified that applied to both of the overarching focus group topic areas (general and religious): (1) food fosters connection, (2) food influences health, (3) relationships with food are complicated, and (4) food choices reflect values. Subthemes were specific to topic areas. In religious contexts, the meaning of food was more likely understood at a community level in addition to individual and relational levels of the Social-Ecological Model. Acknowledgment and consideration of the religious identities of patients and clients may provide greater opportunities for community connection, which may have potential implications for community-level nutrition interventions. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Many education interventions in emergency nursing are aimed at changing nurse behaviours. This scoping review describes and synthesises the published research education interventions and emergency nurses' clinical practice behaviours. Arksey and O'Malley's methodological framework guided this review, which is reported according to Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). CINAHL, MEDLINE complete, ERIC, and Psycinfo were searched on 3 August 2023. Two pairs of researchers independently conducted all screening. Synthesis was guided by the Behaviour Change Wheel and Bloom's Taxonomy of Educational Objectives. Twenty-five studies were included. Educational interventions had largely positive effects on emergency nurses' clinical practice behaviours. Ten different interventions were identified, the most common was education sessions (n = 24). Seven studies reported underpinning theoretical frameworks. Of the essential elements of behaviour change, seven interventions addressed capability, four addressed motivation and one addressed opportunity. Mapping against Bloom's taxonomy, thirteen studies addressed analysis, eleven studies addressed synthesis and two studies addressed evaluation. Few studies addressed elements of behaviour change theory or targeted cognitive domains. Future studies should focus on controlled designs, and more rigorous reporting of the education intervention(s) tested, and theoretical underpinning for intervention(s) selected. [ABSTRACT FROM AUTHOR]

The Making Every Contact Count (MECC) initiative is broadly defined as an opportunistic approach to prevention by making use of the thousands of conversations service providers have with service users every day. However, since its conception, the application of MECC has diverged and developed considerably. Thus, the current study aimed to revise the definition according to current research and practice to better describe what is and is not included. A consensus building classic Delphi methodology, completed by an expert panel. Round 1 asked open questions around the definition of MECC. Content analysis of round 1 identified statements that were rated for agreement in round 2. Statements achieving ≥80% agreement were included in a short, long, or operational definition of MECC that were rated for agreement in round 3 (the minimum number required). An agreement of ≥80% indicated consensus. Forty out of 100 contacted experts completed three rounds. Experts in practice and research were recruited internationally although most were from England. From round 1, 274 statements were generated, of which 96 achieved consensus and were included within round 3. The short and long definition received consensus in round 3, the operational definition required four rounds to reach consensus. MECC is a person-centred approach to health behaviour change that, provided an individual possesses the relevant skills, can be delivered by anyone and anywhere. The distinguishing feature of MECC is not in its duration, target behaviour, or conditions for delivery, but rather in the approach taken and the mechanisms applied to conversations. Implications for research and practice are discussed, and the limits for applicability acknowledged. [ABSTRACT FROM AUTHOR]

The landmark Roe vs Wade Supreme Court decision in 1973 established a constitutional right to abortion. In June 2022, the Dobbs vs Jackson Women's Health Organization Supreme Court decision brought an end to the established professional practice of abortion throughout the United States. Rights-based reductionism and zealotry threaten the professional practice of abortion. Rights-based reductionism is generally the view that moral or ethical issues can be reduced exclusively to matters of rights. In relation to abortion, there are 2 opposing forms of rights-based reductionism, namely fetal rights reductionism, which emphasizes the rights for the fetus while disregarding the rights and autonomy of the pregnant patient, and pregnant patient rights reductionism, which supports unlimited abortion without regards for the fetus. The 2 positions are irreconcilable. This article provides historical examples of the destructive nature of zealotry, which is characterized by extreme devotion to one's beliefs and an intolerant stance to opposing viewpoints, and of the importance of enlightenment to limit zealotry. This article then explores the professional responsibility model as a clinically ethically sound approach to overcome the clashing forms of rights-based reductionism and zealotry and to address the professional practice of abortion. The professional responsibility model refers to the ethical and professional obligations that obstetricians and other healthcare providers have toward pregnant patients, fetuses, and the society at large. It provides a more balanced and nuanced approach to the abortion debate, avoiding the pitfalls of reductionism and zealotry, and allows both the rights of the woman and the obligations to pregnant and fetal patients to be considered alongside broader ethical, medical, and societal implications. Constructive and respectful dialogue is crucial in addressing diverse perspectives and finding common ground. Embracing the professional responsibility model enables professionals to manage abortion responsibly, thereby prioritizing patients' interests and navigating between absolutist viewpoints to find balanced ethical solutions. [Display omitted] [ABSTRACT FROM AUTHOR]

• Real and imagined challenges have limited pediatric lipid screening. • Implementation science provides opportunities to shrink screening gaps in care. • Creative and collaborative efforts empower partnerships to improve screening. Recent guidance by the United States Preventive Services Task Force has renewed the debate surrounding the benefits of pediatric lipid screening. This commentary reviews the evolution of the pediatric lipid screening recommendations in the United States, followed by an exploration of real and imagined challenges that prevent optimal cholesterol screening rates in children. Real challenges substantively prevent the uptake of these guidelines into practice; imagined challenges, such as identifying the best age to screen, are often context-dependent and can also be surmounted. Experiences from other countries identify potential facilitators to improving screening and additional barriers. Implementation science provides guidance on overcoming the real barriers, translating evidence-based recommendations into clinical practice, and informing the next wave of solutions to overcome these challenges. [ABSTRACT FROM AUTHOR]

As part of the special issue "Business English: Research into Professional Practice", this article aims to contribute to a major discussion in the field of business English concerning ways of strengthening the research–pedagogy interface. The article is a commentary on my previously published paper, " Forging a link between research and pedagogy: A holistic framework for evaluating business English materials " (2009). In this commentary, I discuss various aspects of the paper, including the significance of its proposed approach to connecting research with pedagogy, the influence of the paper on business English and other fields, and the application of its ideas by practitioners to business English materials evaluation and beyond. I also reflect on the paper's influence on my subsequent work as both a researcher and a practitioner. I conclude by suggesting future directions that should help to bring research closer to pedagogical practice. • A commentary on my previously published paper (Chan, 2009) is presented. • The significance of the paper's proposal for research-informed pedagogy is highlighted. • The influence of the paper on ESP materials evaluation and beyond is discussed. • The influence of the paper on my own research and pedagogical practice is illustrated. • Future directions for strengthening the research–pedagogy interface are suggested. [ABSTRACT FROM AUTHOR]

The article focuses on the utilization of clinical hypnosis in the practice of anesthesiology, offering a practical guide for anesthetists to incorporate hypnosis into their clinical approach effectively. Topics covered include the benefits of hypnosis in anesthesia, practical techniques for induction and deepening, and considerations for incorporating hypnosis into preoperative and postoperative care.

• The readiness level of nursing students for clinical practice is important in terms of patient safety and quality of care. • There is no valid and reliable tool to assess the clinical practice readiness of nursing students. • The scale can be easily implemented for nursing students before clinical practice; the readiness of nursing students can be evaluated; the subjects that students do not feel ready for can be determined. Training programs can be planned by instructors in line with students' needs. The readiness level of nursing students for clinical practice is important in terms of patient safety and quality of care. However, there is no valid and reliable tool to assess the clinical practice readiness of nursing students. To develop a tool that can measure nursing students' level of readiness for clinical practice. A methodological study design was employed to develop and validate the instrument. Expert opinions were taken for the scale items. The suitability of the scale items and Turkish language validity were performed. The sample of the study consisted of 281 nursing students. Nursing Students. It was determined that the scale consisted of 31 items and 4 subscales. It was determined that the scale consisted of four factors and the Cronbach alpha for the overall scale was 0.964. As a result of the retest analysis, it was determined that the two measurements were highly correlated with each other. It was determined that the Scale of Readiness for Clinical Practice is a valid and reliable tool for measuring nursing students' level of readiness for clinical practice. [ABSTRACT FROM AUTHOR]

Providing interventions that facilitate improvement of dietary intake and other health behaviors can improve nutrition-related outcomes in adults with overweight or obesity. Medical nutrition therapy (MNT) behavioral interventions require expertise from registered dietitian nutritionists or international equivalents (dietitians), which no other health care provider can provide for adults with obesity. Current evidence supports the role of MNT behavioral interventions for adults with overweight or obesity as an effective treatment option, when appropriate for and desired by the client. This Academy of Nutrition and Dietetics Position Paper describes potential benefits and concerns regarding dietitian-provided MNT behavioral interventions for adults with overweight and obesity and informs dietitians about implications for practice. This Position Paper is supported by a systematic review examining effectiveness of MNT interventions provided by dietitians and by an evidence-based practice guideline. It is the position of the Academy of Nutrition and Dietetics that MNT behavioral interventions for adults (aged 18 years and older) with overweight or obesity should be a treatment option, when appropriate and desired by the client, to improve cardiometabolic, quality of life, and anthropometric outcomes. Dietitians providing MNT recognize the complex contributors to overweight and obesity, and thus individualize interventions, based on a shared decision-making process, and deliver interventions in an inclusive, compassionate, and client-centered manner. Interventions should include collaboration with an interprofessional team when needed. Dietitians strive to increase health equity and reduce health disparities by advocating and providing opportunities for increased access to effective nutrition care services. This position remains in effect until December 31, 2031. [ABSTRACT FROM AUTHOR]

The term "obstetric violence" has been used in the legislative language of several countries to protect mothers from abuse during pregnancy. Subsequently, it has been expanded to include a spectrum of obstetric procedures, such as induction of labor, episiotomy, and cesarean delivery, and has surfaced in the peer-reviewed literature. The term "obstetric violence" can be seen as quite strong and emotionally charged, which may lead to misunderstandings or misconceptions. It might be interpreted as implying a deliberate act of violence by healthcare providers when mistreatment can sometimes result from systemic issues, lack of training, or misunderstandings rather than intentional violence. "Obstetric mistreatment" is a more comprehensive term that can encompass a broader range of behaviors and actions. "Violence" generally refers to the intentional use of physical force to cause harm, injury, or damage to another person (eg, physical assault, domestic violence, street fights, or acts of terrorism), whereas "mistreatment" is a more general term and refers to the abuse, harm, or control exerted over another person (such as nonconsensual medical procedures, verbal abuse, disrespect, discrimination and stigmatization, or neglect, to name a few examples). There may be cases where unprofessional personnel may commit mistreatment and violence against pregnant patients, but as obstetrics is dedicated to the health and well-being of pregnant and fetal patients, mistreatment of obstetric patients should never be an intended component of professional obstetric care. It is necessary to move beyond the term "obstetric violence" in discourse and acknowledge and address the structural dimensions of abusive reproductive practices. Similarly, we do not use the term "psychiatric violence" for appropriately used professional procedures in psychiatry, such as electroshock therapy, or use the term "neurosurgical violence" when drilling a burr hole. There is an ongoing need to raise awareness about the potential mistreatment of obstetric patients within the context of abuse against women in general. Using the term "mistreatment in healthcare" instead of the more limited term "obstetric violence" is more appropriate and applies to all specialties when there is unprofessional abuse and mistreatment, such as biased care, neglect, emotional abuse (verbal), or physical abuse, including performing procedures that are unnecessary, unindicated, or without informed patient consent. Healthcare providers must promote unbiased, respectful, and patient-centered professional care; provide an ethical framework for all healthcare personnel; and work toward systemic change to prevent any mistreatment or abuse in our specialty. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Considerable variability exists in emergency physicians' (EPs) rates of resource utilization, which may cluster in distinct patterns. However, previous studies have focused on academic and tertiary care centers, and it is unclear whether similar patterns exist in community practice. Our aim was to examine whether EPs practicing in community emergency departments (EDs) have practice patterns similar to those of academic EDs. Secondarily, we sought to investigate the effects of shared visits with advanced practice professionals and residents. This was a retrospective study of two community EDs affiliated with an academic network. There were 62,860 visits among 50 EPs analyzed from October 1, 2018 through January 31, 2020 for rates of advanced imaging, admission, and shared visits. To classify practice patterns, we used a Gaussian Mixture Model (GMM), with groups and covariance determined by Bayesian Information Criteria. Our GMM revealed three groups. The largest had homogeneous patterns of resource use (n = 28; 50% were female; years of experience: 7; interquartile range [IQR] 2–11; advanced imaging: 28%; admission: 19%; shared: 34%), a small group with lower resource use (n = 4; 0% were female; years of experience: 6; IQR 4–10; advanced imaging: 28%; admission: 16%; shared: 8%), and a modest high-resource group (n = 18; 28% female; years of experience: 5; IQR 2–16; advanced imaging: 34%; admission: 23%; shared: 43%). Rates of shared visits had little direct correlation with imaging (r 2 = 0.045) or admission (r 2 = 0.093), and rates of imaging and admission were weakly correlated (r 2 = 0.242). Our data suggest that community EPs may have multiple patterns of resource use, similar to those in academic EDs. [ABSTRACT FROM AUTHOR]

The article focuses on evidence-based principles and practices in neuromuscular block management, emphasizing the use of a battery-operated nerve stimulator to monitor blockade. Topics discussed include the challenges of accurate neuromuscular monitoring in very low birth weight (VLBW) infants due to their small muscle size, with concerns about trauma from needle insertion justified by potential risks of bleeding or infection.

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Diagnosis of bone and joint infections can be difficult. In recent years there has been great progress in defining how we diagnose fracture-related infection (FRI) and prosthetic joint infection (PJI). Definitions have been proposed based on the best evidence from the literature, including well-established tests performed before and during surgery. These allow surgeons to make better decisions for treatment and to counsel patients. This paper presents the elements of the International Consensus Definition of FRI and the European Bone & Joint Infection Society Definition of Prosthetic Joint Infection (PJI), together with the current knowledge on how these definitions can help in clinical practice. [ABSTRACT FROM AUTHOR]

Preseptal and orbital cellulitis are common paediatric presentations. Despite their incidence, there is no clear evidence-based guidance available to clinicians in the United Kingdom (UK). Orbital cellulitis can cause significant intracranial complications leading to vision loss and even death. An understanding of the clinical presentation, diagnosis, management, and potential complications of paediatric cellulitis is necessary for any health professional involved in the acute care of children. This article aims to develop your knowledge to facilitate your prompt diagnosis of preseptal and orbital cellulitis and to explore management options currently in practice. [ABSTRACT FROM AUTHOR]

Suite à l'évolution des politiques en santé publique de plus en plus ressentie par les équipes de secteur de pédopsychiatrie comme un désamour de la part des tutelles, il semble important de préciser les missions des centres médico-psychologiques (CMP) pour enfants et adolescents et de témoigner, à l'attention des collègues et des partenaires, de la créativité de ces structures de plus en plus sollicitées par les usagers. Une journée d'étude s'est tenue à l'hôpital Ste-Anne à Paris en juin 2019 pour faire entendre les spécificités du travail de secteur en pédopsychiatrie. Participant à la première table ronde intitulée « du terroir au territoire », nous reprendrons ici ce que nous avons tenté de rendre plus visible de la pratique professionnelle en CMP, à partir de la mise en œuvre de savoirs associés, à l'heure où les politiques de santé publique se situent à l'échelle du territoire. Nous avons pu préciser dans quelles conditions et dans quelles situations le pédopsychiatre intervient. La place à laquelle il est mis et à laquelle il se met lui-même est étroitement liée au savoir qu'il détient et à l'expertise qui lui est conférée. Cette réflexion à portée épistémologique semble un détour pertinent afin d'éclairer sa prise de parole au plus près de la population. Following the evolution of public health policies, which are increasingly experienced by workers in this field as a lack of interest from the supervisory authorities, the aim was to clarify the missions of the medical-psychological centers (CMP) for children and adolescents and above all to testify, for the benefit of colleagues and partners, to the creativity of these structures, to which users are flocking. A study day on the specificities of sector work in child psychiatry was held at the Ste-Anne Hospital in Paris in June 2019. As a participant in the first round table entitled "From the land to the territory", I will take up here what I tried to make more visible regarding professional practice in CMPs, based on the implementation of associated knowledge, at a time when public health policies are situated at the territorial level. I set out how and where the child psychiatrist intervenes in the CMP. It depends on both his own knowledge and what is expected. This epistemological thinking could help the child psychiatrist to communicate directly with the people he serves. [ABSTRACT FROM AUTHOR]

Thousands of health systems have adopted the 4 Ms framework, a set of evidence-based practices specific to older adults, as part of the Age-Friendly Health Systems (AFHS) initiative. However, implementation efforts have largely been setting-specific and approaches to achieve continuity of the 4 Ms during care transitions are nascent. Transitions from hospitals to skilled nursing facilities (SNFs) are one type of care transition that would greatly benefit from continuity of 4 Ms practices. Drawing from the authors' insights and 5 exploratory interviews at 3 health systems that implemented the 4 Ms in the inpatient setting, we describe a set of current-state challenges when trying to extend specific inpatient 4 Ms practices (eg, deprescribing of high-risk medications) as well as the nuanced understanding of the individual's clinical trajectory developed during an inpatient stay. We also offer concrete opportunities, such as developing 4 Ms–centric discharge summary templates, to address the challenges. With the large investment in AFHS transformation and associated efforts to implement the 4 Ms framework in all care settings used by older adults, it is critical to raise awareness of the specific obstacles to promoting continuity of successful 4 Ms practices during care transitions and work to overcome them. Our insights from hospital-to-SNF transitions offer a starting point. [ABSTRACT FROM AUTHOR]

The article focuses on the development, feasibility, and initial evaluation of an Active Learning Module (PACE) designed for teaching pediatric ECG interpretation and Entrustable Professional Activities (EPAs) to clinical medical students. The innovative module, created by and for students, demonstrated feasibility, high satisfaction, increased ECG competency, and integration with general pediatrics EPAs and outlines the educational approach, participant details, and results.

OBJECTIVE: Describe pediatricians' experiences, attitudes, and practices around suicide prevention within primary care, and examine associations between pediatricians' experiences and practices. METHODS: The nationally representative Periodic Survey of American Academy of Pediatrics members provided data on pediatricians' patient experience with suicide risk, perceived barriers to screening for suicidal ideation (SI), preparedness to counsel about suicide prevention, interest in learning more about suicide prevention strategies, and frequency of screening for and managing suicidal ideation. Multivariable analyses examined the effect of having a patient die by or attempt suicide on screening practices. RESULTS: A total of 41% responded to the survey with 377 respondents in the analytic sample. A total of 93% of pediatricians had a patient screen positive for SI and 81% had a patient attempt or die by suicide. A total of 61% always screened for SI and 63% reported using a standardized depression screening tool and 9% a suicide-specific tool. Respondents who had a patient attempt or die by suicide were more likely to screen for SI (OR, 2.05, 95% CI, 1.16-3.63) and use a standardized depression screening instrument (OR, 2.34, 95% CI, 1.29 -4.24). Patient reluctance to discuss mental health was the most frequently cited barrier (51%) followed by lack of time (49%) and lack of treatment options (43%). Over 90% of respondents assessed for a plan and referred to mental health services when suicidal ideation was identified. CONCLUSION: Although pediatricians frequently see patients with suicide risk, 39% do not always screen for SI. Educational efforts are needed to improve pediatricians' assessment and management of suicide risk given new guidelines. [ABSTRACT FROM AUTHOR]

This paper presents a study of vocalisations, i.e., non-lexical sounds, in video-filmed sessions of gym training where one personal trainer (PT) and three clients are working out together. The object of study are series of vocalisations performed in connection with series of physical exercises, and the participants' orientation to change in such series is explained using the notion of professional vision (Goodwin 1994, 2013, 2018). We use sequential analysis of the multi-modal interaction, focusing on the PT's interactional work to make changes in series of vocalisations accountable. Our results show how vocalisations are recycled by the PT, transformed in new interactional contexts and thereby rebuilt into new social actions such as correcting, criticising or instructing. The under-specified nature of vocalisations (Keevallik and Ogden 2020) gives the PT an opportunity to reuse them as objects of knowledge for the members of the group, sharing his professional vision in co-operative actions (Goodwin 2013). The study potentially contributes not only to research into vocalisations as one of humans' communicative resources for inter-subjective understanding, but also to the analysis of professional practices used for providing physical health-care. • A series of vocalisations is coordinated with a series of a physical gym exercises. • Changes in the series of vocalisations are oriented to as accountable. • Vocalisations can be recycled and transformed into new social actions. • Sequential analysis shows that vocalising can be performed as co-operative actions. • The interactional work done is explained by Goodwin's notion of professional vision. [ABSTRACT FROM AUTHOR]

• Despite being trained in more holistic treatment approaches, occupational therapists who are certified hand therapists (CHTs) report that a biomechanical intervention approach is their primary approach to treating clients with upper extremity injuries. • While many occupational therapist CHTs will integrate occupation-based assessment and interventions into their therapy sessions, most do not formally assess for psychosocial dysfunction, and they do so even less with worker's compensation clients. • There is a need for better standardized tools to assess psychosocial factors for hand injured clients. Occupational therapists address occupations, performance skills, and client factors that interfere with the successful occupational engagement in everyday activities, including psychosocial factors. However, due to the biomechanical model focus within hand therapy clinics, provision of a holistic care plan remains challenging for occupational therapists. If a client's psychosocial functioning is not addressed, progress toward a full recovery may be limited. The purpose of this study was to identify how occupational therapists who are certified hand therapists (CHTs), address and provide interventions to clients with psychosocial factors that negatively impact function. Mixed-Method. CHTs completed an electronic survey (n = 117) followed by a virtual focus group (n = 9). Survey data analysis included descriptive and correlational statistics to highlight frequencies, ranges, and relationships between the participant demographics and the selection of assessment and the intervention approaches. Thematic analysis guided the qualitative coding of the focus group transcripts. Of the 117 survey respondents, 79% reported frequent use of the biomechanical approach. The most frequently administered assessment included the Quick-Disabilities of the Arm, Shoulder, and Hand (n = 45; 40.9%). Five themes emerged from the focus groups: hand dysfunction impacts roles and routines; client rapport building takes time; CHT hesitation to address psychosocial factors; standardized assessments need to evaluate psychosocial factors that impact client function; and education and communication are critical intervention approaches. Occupational therapy practitioners primarily utilize the biomechanical approach and are less likely to assess or treat psychosocial factors that impact a client's function. However, participants reported a need for a standardized assessment to identify the psychosocial factors that impact their clients' functional performance. Further research is warranted to increase the measurement and the use of holistic theoretical models of practice, assessments, and intervention approaches. [ABSTRACT FROM AUTHOR]

OBJECTIVE: The Accreditation Council of Graduate Medical Education requires an "individualized curriculum" (IC) in pediatric residency. A shared understanding across programs of methods to evaluate the IC is lacking. We explored pediatric program leaders' perceptions of assessment and evaluation within the IC to further understand and inform most useful practices. METHODS: We conducted a phenomenology study using semi-structured interviews to 1) determine what IC assessment and evaluation strategies are utilized in pediatric residency programs, and 2) explore program leaders' perceptions of the feasibility and value of assessment and evaluation in the IC. We recruited a purposive sample of leaders from 15 pediatric residency programs of various sizes and regions. Interviews were recorded and transcribed. Data were analyzed to produce themes. RESULTS: Three themes arose from our analysis: 1) Systematic assessment of the IC, though desired, is not robust in pediatric residency training; 2) Program differences present unique barriers and facilitators that impact the feasibility of assessment within the IC; and 3) Meaningfulness of assessment in the IC varies by stakeholder. Themes reflected perspectives on individual learner assessment and program evaluation. CONCLUSIONS: While systematic assessment and evaluation of the IC in pediatric residency training is lacking, program leaders desire feasible strategies that are meaningful to the resident, the program, and its leadership team. Leveraging current assessment and evaluation tools and aligning new assessment strategies could promote the integration of IC assessment with other assessments, minimizing burden. More structured IC assessment and evaluation could inform how to best achieve curricular goals of the IC. [ABSTRACT FROM AUTHOR]

Abstract When myths become canonical beliefs within a professional culture, they can have a profound impact on professional practice. In this paper we identify as a pernicious educational myth the belief that the ability to teach well is a naturally occurring innate talent or skill. The first two sections of the paper aim to demonstrate (i) that the concept of the naturally gifted teacher is a myth based on factually incorrect assumptions about expertise development and (ii) that this myth has several major negative implications for professional practices around teaching in academic libraries. We then we draw on the education literature to offer an alternative model for the cultivation of teaching excellence, an instructional design/action research framework that prioritizes 'deliberative' practice over innate talent. We close with suggestions for how academic librarians and library administrators can implement this framework within their institutions. [ABSTRACT FROM AUTHOR]

To remain at the forefront of clinical practice and pedagogy, pediatric medical educators must stay informed of the latest research. Yet familiarization with the growing body of literature in both pediatrics and medical education is a near-impossible task for the busy medical educator. The purpose of this annotated bibliography is to summarize key manuscripts in medical education published in 2021 that have the potential to significantly influence a pediatric medical educator's practice. Using a 2-staged iterative process, discrete author pairs reviewed 1599 abstracts from 16 medical education and specialty journals. In summary, 16 manuscripts were selected and grouped into the following 6 domains: assessment and feedback, USMLE Step 1 changes, communication, wellness, diversity and inclusion, and professional development. The authors provide abridged summaries and high-yield takeaways from these manuscripts that may impact educational practices in pediatrics. This year, we also provide a 6-year retrospective review of the journals that have had selected articles for this annotated bibliography since inception. [ABSTRACT FROM AUTHOR]

Prenatal depression is associated with numerous deleterious maternal and child health outcomes. Providers play a significant role in managing (i.e., identifying and treating or referring to care for) prenatal depression. We conducted a randomized controlled trial to test the effects of a brief online training on self-reported provider management practices related to prenatal depression. Providers (i.e., physicians, nurses, mental health specialists, and public health educators) were randomized into intervention (i.e., online training) or waitlist control arms. The online training covered guidelines and evidence-based practices related to managing prenatal depression. Changes in providers' knowledge, attitudes, and self-reported practices were assessed by the Management of Maternal Depression Inventory at baseline (T1), 6 weeks after baseline (T2), and 12 weeks after baseline (T3). A total of 108 providers from Colorado and Virginia participated in the trial. Over the three time periods, repeated measures analysis of variance revealed Time × Group relative improvements for the intervention group with respect to satisfaction with working with mental health services, F(1,97) = 10.89, p =.001, partial η2 = 0.10, and increased self-reported screening, counseling, and referral for prenatal depression, F(1,97) = 6.25, p =.014, partial η2 = 0.06. A similar improving pattern was observed for self-efficacy, F(1,99) = 2.48, p =.13, partial η2 =.02. Findings from our study suggest a brief online training may enhance the likelihood of providers screening, treating, and/or referring at-risk patients for follow-up care for prenatal depression. [ABSTRACT FROM AUTHOR]

People with obesity are vulnerable to eating disorders. It has been suggested that screening for eating disorder risk be part of obesity care. However, it is unclear what current practice entails. To explore considerations of eating disorder risk during treatment of obesity, including assessment and intervention strategies used in clinical practice. An online (REDCap) cross-sectional survey was distributed to health professionals working with individuals with obesity in Australia through professional societies and social media. The survey had three sections: 1. Characteristics of Clinician/Practice, 2. Current Practice, 3. Attitudes. Data were summarised using descriptive statistics and free-text comments were independently coded in duplicate to identify themes. 59 health professionals completed the survey. Most were dietitians (n = 29), identified as women (n = 45) and worked within a public hospital (n = 30) and/or private practice (n = 29). Overall, 50 respondents reported assessing for eating disorder risk. Most reported that having a history of, or risk factors of eating disorders should not preclude obesity care but emphasised the importance of treatment modification including using a patient-centred approach involving a multidisciplinary team and promoting healthy eating behaviours, with less emphasis on calorie restriction or bariatric surgery. Management approaches did not differ for those with eating disorder risk factors or a diagnosed eating disorder. Clinicians identified the need for additional training and clear referral pathways. Individualised care, balancing models of care for eating disorders and obesity and further access to training and services will be important in improving care of patients with obesity. • Most respondents assessed for eating disorder risk as part of routine obesity care. • Results showed balancing eating disorder and obesity care is important. • Respondents identified the need for training and referral pathways between services. • Results highlighted the importance of personalising care. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

• Youth welfare services are identified as having four functions. • People-processing as a working method is emphasised in all youth welfare services. • People-processing confers the social status of a semi-independent youth who needs substantial support. This paper holistically sheds light on youth welfare services, drawing upon interviews with professionals working in youth, health, social and employment services and investigating their institutionally embedded professional practices and shared features. The 38 individual and group interviews with 73 professionals were analysed thematically to determine their priorities in their work and identify what is done with young people seeking help from their services. First, the services were identified as having four functions: (1) guidance, (2) authoritative decision-making, (3) psychosocial support and (4) everyday support. These functions are prioritised differently in the services, but the services are not limited to a single service feature. This typology demonstrates that young people often need more than one form of support for diverse aspects of their lives. Second, the interviews highlighted the working method of people-processing, understood as categorising, assessing and guiding clients to other services. While earlier research has understood people-processing as a feature of specific services or organisations, it is a central method in all services. The service system's high client volumes and requirements for efficiency make it ill-suited to long-term, relationship-based work, and there is an incentive to keep young people moving on a service pathway and process them forward. [ABSTRACT FROM AUTHOR]

• We use post-founding policy analysis to study the argumentative rhetoric of educational agencies. • Agencies generate a mechanical objectification of practice to homogenize references and standardize teaching practices. • Decontextualization of practice is impractical for activating change in professional practice. • When agencies focus on teaching practices, instead of describing immediacy, they claim ethical and ideological positions. • Ideology does not come from the knowledge linked to the task, but from the fantasies associated with them. This study analyzes the argumentative rhetoric of the national and supranational regulatory bodies that intervened in the deliberation of novice teachers' insertion policies in Mexico between 2005 and 2020, with the purpose of identifying the cognitive tools and the ethical and political stances displayed to generate effects of consensus on the risks and expectations they are based on. Post-foundational policy analysis is used, articulated by categories of F. Fischer's post-positivism, Perelman's argumentative turn and E. Laclau's political discourse analysis, to analyze the discursive corpus of the aforementioned bodies, as well as the narrative of the novice teachers' mentors, which were used to triangulate the proposals of the sources. It was found that, within the argumentative rhetoric of the government agencies, an empirical and rational perspective prevails, which is centered in the immediacy, externality, and comparability, and this activates the circulation of referents and legitimizes the hegemony of specific cultures of the professional practice. [ABSTRACT FROM AUTHOR]

• Compulsory drug rehabilitation was the last resort for families to protect loved ones and alleviate stress. • The effectiveness of compulsory rehabilitation was viewed through short-term health and mood improvements. • Families used three strategies to prevent relapse after release: conditional support, employment, and close monitoring. • Support available to families for coping with drug use and aiding recovery was significantly limited. Compulsory drug rehabilitation continues to be a major governmental response to illicit drug use in East and Southeast Asia despite repeated calls for its discontinuation. Extensive evidence from individuals with substance use disorders and advocacy groups highlights the adverse health, social and economic outcomes associated with compulsory drug rehabilitation. However, the perspective of families on this issue remains relatively unexplored. Between April 2020 and August 2022, we conducted in-depth interviews in three major cities in Vietnam with 20 family members of people who recently returned from or were about to leave compulsory drug rehabilitation centers. Interviews explored how compulsory rehabilitation met the needs of families, how effective families perceived compulsory rehabilitation was and what families' needs or concerns that remained unmet. Compulsory drug rehabilitation centers, despite their recognized limitations, were perceived as the last resort for family members after multiple failed attempts to protect their loved ones from the consequences of drug use and to relieve themselves from constant drug-related stress. Family members considered the effectiveness of compulsory rehabilitation to be the short-term improvements in the health and mood that their loved ones exhibited while in the centers. However, families predominantly worried about the risk of relapse after release and employed three main strategies consisting of conditional support, employment and close monitoring to prevent it. The support available to families to support recovery at post-release was severely limited. The study underscores the urgent need to alleviate the burden of drug use on families affected by substance use disorders. It is imperative to develop community-based and evidence-based rehabilitation options for PWUD and supportive services for their families. [ABSTRACT FROM AUTHOR]

The article focuses on evaluating the effectiveness of cognitive behavioural therapy (CBT) combined with best-evidence pain management for patients with chronic spinal pain and insomnia. Topics include the comparison of treatment outcomes, the role of CBT in pain and insomnia management, and the implications for clinical practice in treating this patient population.

• The implementation of heat pumps, as part of sustainability transitions, requires the reconfiguration of everyday practices in the household. • We take a design-oriented approach and contribute to a view of households as creative actors in transitions. In this view, reconfigurations of practices are innovations-in-waiting. • Ethnographic research in 11 households in the Netherlands with heat pumps. • We find that the integration of heat pumps in everyday practices in the Netherlands requires reconfigurations of understandings, material reconfigurations, and reconfigurations of routines. • There is further potential for innovative practice reconfigurations emerging from households to contribute to sustainability transitions. Domestic heating systems need to change to meet climate targets. We draw on practice theoretical concepts to understand what is needed to integrate heat pumps in Dutch households. From a design orientation, we view households as creative actors integrating technologies into daily life. We report on an ethnographic study of the disruptions and resulting reconfigurations that occur when heat pumps are introduced in Dutch households. Our findings reveal a variety of practice reconfigurations around heat pumps. We also find that these reconfigurations are related to and may influence other practices, including professional practices. We discuss our findings in relation to policy, technology development, and design, and conclude that the required reconfigurations in Dutch household practices could be supported, and that innovative practice reconfigurations emerging from internal household dynamics could contribute to sustainability transitions. [ABSTRACT FROM AUTHOR]

Pharmacy practice in Australia is guided by professional practice guidelines. The guidelines communicate expected pharmacist behaviours to facilitate a consistently high standard of patient care, but are infrequently used by pharmacists and students. It is therefore essential to understand what influences pharmacists' use of professional practice guidelines and how best to support positive behaviour change towards utilising these guidelines. To explore perceived influences on the use of professional practice guidelines by Australian pharmacists, and to map these influences to the COM-B model of behaviour. Focus group discussions were undertaken with pharmacists (including intern pharmacists) from various practice settings, locations, and with varying years of experience. Audio-recordings from each focus group were de-identified and transcribed verbatim. Transcripts were analysed using the COM-B ('capability', 'opportunity', 'motivation' and 'behaviour') model. Nine focus groups with 45 participants were conducted. Limited awareness of professional practice guidelines hindered pharmacists' 'capability' to use them. Pharmacists indicated that challenges accessing, and suboptimal content design, limited their 'opportunity' to use the guidelines. Pharmacists' professional role and identity ('motivation') appeared to inhibit use of the guidelines if they were perceived to not apply to their current role, or if pharmacists believed their experience obviated the need to use them. Motivation to use professional practice guidelines was associated with a belief that the guideline(s) would support pharmacists in their practice. Understanding what influences the use of professional practice guidelines should inform interventions to target and improve pharmacists' use of the guidelines. The Behaviour Change Wheel offers clear next steps for this process. Awareness, access, and content could be improved in the first instance, and this may also work to improve motivation. Leveraging influences on motivation may serve to ensure that use of professional practice guidelines is embedded in future practice, albeit motivation can be more difficult to target. • Use of pharmacist professional practice guidelines are influenced by several factors. • Limited awareness of the practice guidelines hindered pharmacists' capability. • Access challenges and suboptimal content design limited pharmacists' opportunity. • Belief they support knowing what to do in different situations increased motivation. • Behavioural interventions designed to target these influences may increase use. [ABSTRACT FROM AUTHOR]

Legislation allows adolescents to access comprehensive contraceptive care; however, provider practices remain unclear. We examined predictors of provider knowledge and comfort surrounding the provision of contraceptive care to adolescents. We mailed a survey to Illinois contraceptive providers (n = 251). Study outcomes include 1) knowledge of adolescent consent laws, 2) comfort asking for time alone with adolescents, 3) comfort providing contraception to adolescents without parental consent, and 4) comfort providing long-acting reversible contraception (LARC) to adolescents without parental consent. Using multivariable logistic regression, we estimated adjusted odds ratios (aORs) and 95% confidence intervals (CIs). Most providers are knowledgeable of consent laws (90%) and report being comfortable asking for time alone with adolescents (94%) and comfortable providing contraception to adolescents without parental consent (88%). Having a large proportion of patients who are eligible for family planning services was associated with increased comfort asking for time alone with adolescents (aOR, 7.03; 95% CI, 1.58–31.3) and providing contraception to adolescents (aOR, 4.0; 95% CI, 1.4–11.1). Only one-half (54%) were comfortable providing LARC methods to adolescents, with higher comfort among providers who: received more than 2 days of formal family planning training (aOR, 2.77; 95% CI, 1.2–6.2), specialized in obstetrics-gynecology (aOR, 5.64; 95% CI, 2.1–15.1), and had a patient population with more than 50% patients from minoritized racial/ethnic groups (aOR, 2.9; 95% CI, 1.2–6.6). Although knowledge of consent laws was high, gaps remain. Only one-half of our sample indicated comfort with the provision of LARC methods without parental consent. Additional efforts to increase provider comfort with all contraceptive methods and training on adolescent-centered practices may be required to meet the needs of adolescent patients. [ABSTRACT FROM AUTHOR]

In 2015, the Council on Research published their vision for scientific decision making, which provided nutrition and dietetics practitioners and practitioners-in-training key information on the Academy of Nutrition and Dietetics' newly developed scientific integrity principles. Given that it has been 7 years since the original publication, it was believed the original six principles should be revisited and updated. From the Subcommittee on Scientific Integrity Principles under the Council on Research, the 2015 principles were evaluated and updated with new literature and best practices for maintaining scientific integrity principles. After this review process, four new/updated principles were approved by the Council on Research. These include: 1) the ethical conduct of research and protection of human subjects, 2) funder's influence on the research question/methodology/education content and conflicts of interest, 3) review of research-related materials, and 4) maintain and promote a culture of scientific integrity. Moreover, it became clear that newer topics, including diversity, equity, and inclusion should be woven throughout the principles. This article presents the newly updated principles and resources related to scientific integrity principles. We envision that this document can be used by the Academy of Nutrition and Dietetics to educate members and serve as a guide to incorporate these principles into all research practices and at all levels of dietetics practice. [ABSTRACT FROM AUTHOR]

Understanding the knowledge, attitudes, and practices pertaining to food insecurity among oncology registered dietitian nutritionists (RDNs) is critical to ensuring that cancer survivors have adequate nutrition—a fundamental component of successful treatment and recovery. To qualitatively assess oncology RDNs' knowledge, attitudes, and practices regarding the food access needs of their patients using a qualitative semantic approach to thematic analysis. The qualitative cross-sectional study was conducted from September 2018 to January 2019. Forty-one oncology RDNs working with cancer survivors in various clinical settings across the United States participated. Participants completed a semistructured, in-depth interview via telephone, lasting an average of 49 minutes. Two coders (primary and secondary) trained in qualitative thematic data analysis methods used a semantic approach to thematic analysis to analyze transcripts. A qualitative and mixed methods online coding program Dedoose was used to organize and analyze the data. Participants defined food insecurity (FI) as a lack of access to nutritious foods and a lack of resources to purchase nutritious foods. RDNs stated they believe FI is a serious problem in the United Staes, has a greater influence on cancer survivors than healthy individuals and they have specific concerns about FI among their own patients. Despite their concerns, most expressed that they do not use a validated tool to identify FI, nor were they aware that any exists. Only a small proportion of the RDNs stated that they regularly ask patients about their food access needs. Although Oncology RDNs have heard of FI, they do not routinely assess patients' food security status with a validated tool, nor do they consistently ask patients directly about their food access needs. These findings suggest there is a need for developing education and training opportunities for oncology RDNs to enhance their ability to screen for and address FI with their patients. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)