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Compensation is a key component of career satisfaction and professional growth. A new compensation model was developed to provide a framework for career growth and a compensation ladder for medical physicists with clinical responsibilities in an academic radiation oncology department. The goals for the new model were: (1) create a market competitive plan to support recruitment and retention of top physics talent, (2) incentivize clinical effort, innovation, citizenship/professional service, and academic achievement, (3) provide compensation growth opportunities separate from medical school promotions, and (4) create consistent, transparent, and fair metrics applicable to all clinical physicists in the department. The model includes a base salary, and credits for board certification, clinical tier, leadership, and academic level. Further, metrics were developed to inform the clinical tier. Years of experience is not explicitly included in the model. The model was successfully implemented for clinical physicists in a relatively large academic radiation oncology department. [ABSTRACT FROM AUTHOR]

Introduction Methods Results Conclusion Occupational burnout can be associated with negative feelings about the workplace and feeling that a person's efforts are of little consequence. Within a healthcare setting, occupational burnout can be attributed to a high workload or a non‐supportive work environment. Higher levels of burnout are associated with increased absenteeism and turnover, increased medical errors and decreased patient care. The aim of this study was to investigate the levels of occupational burnout within nuclear medicine technologists (NMTs) working in Australia and New Zealand.An online questionnaire was distributed via QuestionPro. The questionnaire consisted of four sections, including the Professional Quality of Life Scale (ProQOL) Version 5 (2009) measuring compassion satisfaction, burnout and secondary traumatic stress in the workplace. For this study, only the burnout component of this scale is reported.There were 162 survey responses. Of the 18 New Zealand participants, 10 (56%) reported moderate levels of burnout. Of the 144 Australian participants, 114 (79%) reported moderate levels of burnout. No NMTs reported high levels of burnout. All states of Australia were represented in the survey, with Queensland, Western Australia and Victoria having the highest number of participants reporting moderate levels of burnout.This study revealed that more than half of New Zealand participants and three quarters of Australian participants reported moderate levels of burnout. It is imperative to address the wellbeing needs of NMTs working in Australia and New Zealand at an individual and organisational level to support NMTs to be more engaged in their work and help organisations retain staff. [ABSTRACT FROM AUTHOR]

Introduction: The demand for occupational therapy services in Australia has experienced considerable growth in the last decade. Despite an increase in occupational therapy numbers, there remains a substantial workforce shortage. One reason for this shortage is difficulty with the retention of occupational therapists and subsequent workforce attrition. The literature attributes planning to leave as being influenced by high workloads, insufficient time, a negative workplace culture, and stress impacting well‐being. However, much of this research is specific to a practice area, such as mental health, and does not explore the experiences of those who have already left. Knowing why people leave occupational therapy will inform our understanding of how to support and retain our occupational therapy workforce. Methods: A qualitative study was undertaken using narrative inquiry in an Australian context. In 2022, stories were gathered from six former occupational therapists who left within the previous 5 years. Data were collected via semi‐structured in‐depth interviews using Zoom. Interviews were recorded and transcribed verbatim. The data were analysed using narrative and thematic analysis. Findings: Four themes were developed: "I just want to help this person"; "there was no real understanding"; "Trying to find where occupational therapy fits for me"; and "I'm not able to continue ... anymore." Participants experienced dissonance between enacting their occupational therapy values and the expectations of their management. They were challenged by unsupportive workplace cultures and leadership styles that undermined their autonomy. They responded with resilience, and trying new ways to continue being occupational therapists, but became increasingly uncomfortable and stressed until they reached a tipping point where they decided to leave. Conclusion: Increasing leadership development within the profession is essential, along with creative strategies for meeting funding requirements and fulfilling occupational therapy values. Workplaces that provide autonomy and respect the occupational therapy role are likely to support retention. PLAIN LANGUAGE SUMMARY: Occupational therapists are leaving the profession, leading to not having enough occupational therapists in the workforce to meet the needs in Australia. This research asked people who had left the occupational therapy profession to share their stories about why they chose to leave. Six people agreed to participate in an interview, and analysis of this data led to the development of four themes to represent their collective experiences. We found that participants were frustrated by being unable to help their clients in ways that aligned with their occupational therapy values, and they did not always feel supported by their managers when they expressed their concerns. They described their autonomy as constrained by funding models and external processes, and while they tried different strategies to address their growing disillusionment, they eventually decided to leave the profession. This decision was accelerated by issues arising with their health and well‐being, which they attributed to the stressors they were experiencing. This research highlighted a need to closely align work processes with the occupational therapy role and instill workplace cultures that are supportive with sufficient flexibility for occupational therapists to have appropriate autonomy. A review of leadership structures and creative strategies for meeting both the employer and employee expectations is recommended. The participants were all women, but they came from diverse practice areas with a wide range of years of experience prior to leaving. [ABSTRACT FROM AUTHOR]

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Aim Background Methods Finding Conclusion Implications for nursing and health policy To explore the interplay between the perceived nursing work environment, general self‐efficacy, and compassion fatigue among registered nurses in Chinese hospitals.Compassion fatigue emerges as a significant occupational stress response globally, with the nursing work environment being a pivotal influencer. There is a knowledge gap in understanding how the nursing work environment and general self‐efficacy interrelate to affect compassion fatigue, particularly among Chinese nurses.Employing a cross‐sectional, descriptive design, this study utilized validated questionnaires to gather data from 7085 nurses across public and private hospitals in China. The analysis focused on assessing the interrelations among the perceived nursing work environment, general self‐efficacy, and different dimensions of compassion fatigue.More than half (65.67%) of the participants experienced moderate or high burnout levels, with 76.43% experiencing secondary traumatic stress. The lowest rating in the nursing work environment was for nurse/physician collaboration (10 ± 2.07), while general self‐efficacy scored higher (27.54 ± 6.26). A positive relationship existed between the work environment and both general self‐efficacy and compassion satisfaction, with a negative correlation to burnout and traumatic stress. General self‐efficacy was a partial mediator in the link between work environment and compassion fatigue, suggesting that improving the work environment can decrease compassion fatigue by boosting nurses' self‐efficacy.This study underscores the profound impact of the nursing work environment on compassion fatigue, mediated by general self‐efficacy. It highlights the necessity of fostering a supportive work environment to enhance nurses' self‐efficacy and overall well‐being.Healthcare managers and institutions must create supportive work environments to reduce compassion fatigue among nurses. This includes professional development programs to enhance self‐efficacy and job satisfaction. Policies should address high workloads and inadequate support. Nurse leaders should foster environments that promote psychological well‐being, improving outcomes for both nurses and patients. Regular assessments and adjustments of work conditions are essential to maintain a healthy work environment. [ABSTRACT FROM AUTHOR]

Background: The COVID‐19 pandemic disrupted the provision of surgical services in Australia. To prepare for a surge of COVID‐19 patients, elective surgery was mandatorily reduced or ceased at multiple timepoints in Australian states between 2020 and 2022. Operative exposure is a critical component of surgical training in general surgery, and readiness for practice is an ongoing priority. However, the impact of COVID‐19 on operative exposure in Australian General Surgical Trainees (AGST) has not been quantified. Methods: This study was a retrospective longitudinal cohort study using de‐identified operative logbook data for Australian General surgical Trainees (AGST) from the Royal Australasian College of Surgeons (RACS) Morbidity and Audit Logbook Tool (MALT) system between February 2019 and July 2021. Bivariate analysis was used to determine the impact of COVID‐19 on general surgical trainees' exposure to operative surgery and trainees' operative autonomy. Results: Data from 1896 unique 6‐month training terms and 543 285 surgical cases was included over the data collection period. There was no statistically significant impact of the COVID‐19 pandemic on AGST operative exposure to major, minor operations, endoscopies, or operative autonomy. Conclusions: The impact of COVID‐19 on surgical trainees globally has been significant. Although this study does not assess all aspects of surgical training, this data demonstrates that there has not been a significant impact of the pandemic on operative exposure or autonomy of AGST. [ABSTRACT FROM AUTHOR]

Podcasts refer to episodes of audio content that are readily available on streaming applications on smartphones or computers. This paper reports on the development of the 'Breathe In Radiography Podcast' series for radiography students and provides suggestions for evaluation. Podcast development followed a structured framework, including identification of podcast topics and expert guests, content development, audio recording, episode upload to host site and distribution. Using a framework was useful to guide development and ensure consistency across podcast episodes. Evaluation through podcast usage data, surveys and focus groups provides a comprehensive strategy to explore radiography students' perception of the newly developed podcast series. [ABSTRACT FROM AUTHOR]

Introduction: The study explored and described the professional identity of diagnostic radiographers in Johannesburg, Gauteng, South Africa. Methods: The methodology employed for the study was qualitative, exploratory and descriptive design. Face‐to‐face interviews were conducted with thirteen diagnostic radiographers from private, public practices and individually owned practices. Semi‐structured interviews were conducted, and the responses underwent thematic analysis and used Braun and Clarke's six steps for analysing qualitative data. Results: The thematic analysis revealed three themes and six categories. The three themes identified were: perceptions of identity, environment influences and organisational institutions. Conclusion: This study provided an insight into the current perspectives of the professional identity of diagnostic radiographers in Johannesburg, South Africa, which reflected a positive professional identity. The three themes identified could inform guidelines for education in diagnostic radiographers' professional identity in the future. [ABSTRACT FROM AUTHOR]

Background: The importance of work engagement has been emphasised due to the increasing demand for health‐ and social care and the shortage of skilled labour. Improving organisational and managerial factors is important when enhancing professionals' work engagement. The association between management and work engagement has only been established in previous studies at a general level, but the association between appreciative management and work engagement has not received equivalent research interest. Aim: This study aimed to describe the association between appreciative management and work engagement among health‐ and social care professionals. Methods: The study used a cross‐sectional survey design. The data were collected in five health and social services centres in one city in Finland from September to October 2022 using the Appreciative Management Scale 2.0 and the Utrecht Work Engagement Scale‐9. A total of 182 health‐ and social care professionals participated. The data were analysed using correlations, linear regression analyses, independent samples t‐tests and two‐way analyses of variance (ANOVAs). Results: A moderate association was found between appreciative management and work engagement and its dimensions of vigor, dedication and absorption. Systematic management had the strongest association and equality had the weakest association with work engagement. Among the dimensions of work engagement, appreciative management had the strongest association with vigour and the weakest association with absorption. Appreciative management and work type predicted 18% of the variance in work engagement. Full‐time employees reported higher levels of work engagement and all its dimensions than did part‐time employees. Conclusion: The results indicate that appreciative management and full‐time work predict work engagement among health‐ and social care professionals. Due to this positive association, it is important to promote managers' appreciative management skills by educating them to understand how appreciative management enables and supports professionals' vigour, dedication and absorption in health‐ and social care. [ABSTRACT FROM AUTHOR]

Background and Purpose: Physiotherapists worldwide are encouraged to integrate evidence‐based practice (EBP) to provide safer and effective services. However, for professionals to consolidate this practice, the contact with EBP must begin at the university. In this study, we aimed to map and analyze the distribution of EBP courses and their characteristics in undergraduate physiotherapy programs in Brazil. Methods: This web‐based document analysis study analyzed the current curricula of undergraduate physiotherapy programs in Brazil according to their availability on university sites. The identification of curricular components and analysis of EBP course syllabi used evidence‐based descriptive terms. A descriptive analysis was used to verify the frequency and the regional distribution of EBP courses. Results: Of 1033 accredited programs in Brazil, 809 curricula were analyzed. Only 9.4% (76/809) of the analyzed curricula presented EBP courses; the mean duration of courses was 44.3 (SD 13.5) hours. Southeast region had the greatest number of undergraduate programs (46.5%, 376/809), and the north region had a proportionally greater number of EBP courses (24%, 12/50). In addition, 15.6% (10/64) and 8.9% (66/739) of the curricula of public and private institutions, respectively, provided EBP content. Critical appraisal was the most mentioned step among 15 undergraduate programs with complete EBP syllabi. Discussion: Most undergraduate physiotherapy programs in Brazil did not offer an EBP course. Also, an unbalanced emphasis on the critical appraisal step was observed. The lack of EBP content and skills in the curricula of Brazilian undergraduate physiotherapy programs may negatively influence the training, decision‐making, and clinical practice of physiotherapists. A re‐evaluating of the current undergraduate programs and curricula for EBP‐based education is needed. [ABSTRACT FROM AUTHOR]

Background: Intensive care professionals (ICPs) have a key role in counselling adult intensive care unit (ICU) patients and their family members. The counselling provided to ICU patients and their family members can be described based on the content, implementation, benefits, and resources. Aims: The study had two specific aims: first, to assess ICPs' perceptions of the quality of counselling provided to ICU patients and their family members; and second, to explore which factors ICPs feel is associated with the quality of counselling. Study Design: A cross‐sectional survey of ICPs working in adult ICUs in Finnish university hospitals. Data were collected using the Counselling Quality Instrument. The data were analysed by descriptive statistics and chi‐square and t‐test statistical methods. Results: A total of 182 ICPs returned the questionnaire, reflecting a response rate of 18.6%. Most of the respondents were nurses (97%) and the mean age was 42 years. The ICPs reported having adequate time for patient‐ (77%) and family‐centered (73%) counselling, but only 47% felt that their units had the appropriate facilities. There were statistically significant differences between patient‐ and family‐centered counselling and the ICP's self‐assessed competence (p <.001), goal‐oriented counselling (p <.001), and atmosphere during counselling (p <.001). ICPs' attitudes towards counselling impacted how these professionals assessed patients' and family members' confidence, along with patient recovery (p <.001). Conclusions: This study confirms that the provision of high‐quality counselling has beneficial effects; however, it also indicates that there is a need for training that considers each ICP's professional experience and patient‐ and family‐centered factors, which may differ from one another. Relevance to Clinical Practice: According to ICPs, the quality of counselling can be enhanced by empowering ICPs to improve counselling and providing appropriate ICU facilities for counselling, such as a private room for family members. [ABSTRACT FROM AUTHOR]

Given the importance of their roles in society, the education of professionals is a central concern for providers and recipients of public services. In this article we consider the contribution of research on professional learning to current debate on the form and content of professional education. This mapping review asked, 'What does the research literature tell us about the characteristics of research into professional learning across professions?' We identified and synthesised primary research involving post-qualification professionals' professional learning. We searched seven databases using terms such as 'professional learning', 'professional development' and 'continuing education' from 2000 to date. We carefully screened articles against agreed criteria, extracted data and mapped the findings. After removing duplicates, 20,616 records remained. After full text screening, 356 articles were included: 266 from teaching (75%), 77 from healthcare (22%) and 13 from another profession or cross-professional (4%). Three included papers that spanned professions. Only 6% of articles studied the institution as the unit of analysis (rather than the individual). Around half of the included papers (49%) included an intervention. Most teaching interventions were proximal to the workplace whereas most healthcare/other studies were distal to the workplace, perhaps reflecting stage of development of the research field. Our study synthesised a heterogeneous literature to indicate the types or research that are needed to progress the debate. The clear differences in 'style' between professions suggested that collaboration could provide mutual benefit. Future research requires studies that report research in ways that lend themselves to evidence synthesis or replication. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to evaluate the biological and clinical effect of professional toothbrushing on the periodontal health of patients with gingivitis. Methods: We enrolled 21 university students with gingivitis in Jinju City in this study between April 24 and October 28, 2014. A dental hygienist performed a professional toothbrushing routine on the participants twice, once at baseline and after 3 months. Oral examinations were performed at baseline, 3, and 6 months to assess the periodontal health. The patient hygiene performance index, gingival bleeding rate, periodontal pocket depth, amount of gingival sulcus fluid, and number of bacterial colonies in the gingival sulcus (CFU/mL) were evaluated during the oral examination. Results: The patient hygiene performance index, gingival bleeding rate, pocket depth, amount of gingival sulcus fluid, and CFU/mL within the gingival sulcus significantly decreased after professional toothbrushing (p < 0.05), indicating an improvement in the periodontal health. The patient hygiene performance index, gingival bleeding rate, pocket depth, amount of gingival sulcus fluid, and CFU/mL within the gingival sulcus decreased more among those whose pocket depth was 4–5 mm than among those whose PD was ≤3 mm (p < 0.05). Conclusions: Professional toothbrushing improved the periodontal health in patients with gingivitis in respect of both biological and clinical results. [ABSTRACT FROM AUTHOR]

The fifth biennial Advanced Dental Education Summit was organized by the ADEA Council on Advanced Education Programs. With a focus on "Resident selection, assessment, and management," the summit aimed to discuss best practices for selecting, assessing, and managing advanced education residents. Expert presentations covered the resident's journey from interview to graduation, emphasizing strategies for supporting resident wellness, success, and evaluation. The summit provided recommendations, including the incorporation of psychosocial assessments in the selection process, early recognition of behavioral issues, clearly defining clinical competencies, and creating a culture of wellness through supportive policies and structures. [ABSTRACT FROM AUTHOR]

Objectives: This systematic review and meta‐analysis aimed to examine non‐pharmacological interventions for helping people with dementia who experience feeding difficulties in order to improve their nutritional status. Methods: The articles were searched using PsycINFO, Medline, PubMed, CINAHL and Cochrane. Two independent investigators critically appraised eligible studies. The PRISMA guidelines and checklist were used. The possibility of risk of bias was assessed using a tool to assess the quality of randomised control trials (RCT) and non‐RCT studies. A narrative synthesis was conducted as a method of synthesis. The Cochrane Review Manager (RevMan 5.4) was used for meta‐analysis. Results: The systematic review and meta‐analysis included seven publications. Six interventions were identified and categorised as: eating ability training for people with dementia, staff training and feeding assistance and support. The meta‐analysis found evidence of the effect of eating ability training on feeding difficulty, quantified by the Edinburgh Feeding Evaluation in Dementia scale (EdFED) with a weighted mean difference of −1.36 (95% confidence interval: −1.84 to −0.89, p < 0.001) and on self‐feeding time. A spaced retrieval intervention showed a positive effect on EdFED. The systematic review discovered that while feeding assistance had a positive effect on feeding difficulty, staff training had no effect. According to the meta‐analysis, these interventions had no effect on improving the nutritional status of people with dementia. Conclusions: None of the included RCTs met the Cochrane risk‐of‐bias criteria for randomised trials. This review found that direct training for people with dementia and indirect feeding support from care staff resulted in fewer mealtime difficulties. More RCT studies are needed to determine the efficacy of such interventions. [ABSTRACT FROM AUTHOR]

Objectives: Generate national estimates of the public health nursing workforce's (1) demographic and work characteristics and (2) continuing education learning needs in the United States. Design: Secondary data analysis of the 2018 National Sample Survey of Registered Nurses. Sample: Total 7352 of the 50,273 survey respondents were categorized as public health nurses (PHNs), representing an estimated 467,271 national workforce. Measurements: Survey items for demographics, practice setting, training topics, and language(s) spoken fluently were analyzed. Results: Workforce demographic characteristics are included. Mental health training was the most frequently endorsed topic by PHNs, followed by patient‐centered care and evidence‐based care. Training topic needs vary by practice setting. Conclusions: Results here can be used as a needs assessment for national public health nursing professional development and education initiatives. Further research is needed to refine and survey a nationally representative sample in a manner meaningful to public health nursing practice. [ABSTRACT FROM AUTHOR]

Aims: To investigate nurses' experiences of adhering to professional values in clinical settings. Design: A qualitative study with a conventional content analysis approach. Methods: This study was conducted from January 2021 to March 2022. Semi‐structured interviews were conducted with 12 nurses working in different wards of five public and private hospitals in West Azerbaijan of Iran. Data were analysed using the conventional content analysis approach proposed by Graneheim and Lundman (Nurse education today, 24, 2004, 105) Results: "Barriers to nurses' professional values" emerged as the main category of Iranian nurses' experiences in adhering to professional values. Three subcategories of barriers were revealed: "nurses' challenges," "professional suppressors" and "poor working conditions." Conclusion: Barriers in clinical settings can overshadow nurses' professional performance and disrupt their adherence to professional values. Nursing managers must pay attention to nurses' challenges, their professional suppressors and poor working condition to help them promote their professional performance in clinical settings. Thus, nursing managers should not neglect the continuous education of nurses to assist them in increasing their clinical skills by holding practical and theoretical workshops. Improving the working conditions and clinical atmosphere by recruiting a capable workforce and applying psychological and financial support for nurses are essential to increase the quality of nursing care. [ABSTRACT FROM AUTHOR]

Decisions about continuing a pregnancy or pursuing medical treatments, including termination of pregnancy, involve profound individual value systems and are usually made between a patient, their loved ones and health practitioners. This position contrasts with the approach of some United States jurisdictions where the contents of a pregnant patient's ACD may be overlooked because of laws that prioritise the preservation of the fetus over patient autonomy. Ethically, unless additional preferences were divulged by the patient to their family, invoking substituted judgement principles, the preservation of the patient's autonomy should be prioritised by the treating team. Keywords: Ethics; Obstetrics; Pregnancy complications; Advance directives; Abortion; induced; professional EN Ethics Obstetrics Pregnancy complications Advance directives Abortion induced professional 161 164 4 03/08/23 20230301 NES 230301 Does pregnancy change a person's medical values and preferences?. [Extracted from the article]

One in five women are childless at midlife, and for an estimated 90 percent of these women, childlessness is not actively chosen. In this article, we explore how solo‐living and childless professional women navigate the 'balanced mother ideal' over their fertile years and what this means for organizations and organization studies. Drawing on biographical narrative interview data from solo‐living professional women in the UK, we argue that identifications with the balanced mother ideal change over the life course as a result of futurity, ambivalence, and suppression of negative emotions—part of the logic of both postfeminism and neoliberal feminism—and the 'disenfranchized grief' of contingent childlessness. At the point of late fertility, the absence of alternative social narratives to the balanced mother ideal appears to create a crisis point for childless women, including in the workplace. We conclude our article with recommendations for how organizations can better cater to the needs of this significant, yet largely silenced, demographic group. [ABSTRACT FROM AUTHOR]

This paper explores the (re)interpretation of migration networks on the move following the European Union (EU) enlargement towards eastern Europe, which affected people's mobility in time–space. The paper poses two questions: are one or more migration networks engaged in this mobility? Is it possible to rethink migration networks in the context of mobility? Drawing on 60 in‐depth interviews with Romanians in Spain, my novel argument is that even while on they move people construct dynamic and multifaceted networks situated between encounter and difference that transcend their distinctive features and complement each other: 'associative networks' grouped around migrant associations; 'professional networks' articulated around the institutions that represent Romania in Spain; and 'global networks of encounter' that include highly mobile young people. The conclusions emphasize that the notion of migration networks on the move can be rethought by taking a transformative approach that overcomes differences and seeks interconnective synergy. [ABSTRACT FROM AUTHOR]

Aim: To explore Master of Nursing students' perspectives toward the impact of coronavirus disease 2019 (COVID‐19) on the advanced practice nurse preparatory education and practice. Background: Like many nursing education programmes, the advanced practice nurse preparatory training was greatly affected and had to radically change to adapt to the disruptions caused by the pandemic. The COVID‐19 pandemic has created a strain on the healthcare system and advanced practice nurses have been expected to modify their normal practice to provide care in unprecedented ways. Methods: The study used a descriptive qualitative design. Semi‐structured video‐conference interviews were conducted in an autonomous university (June–July 2020). The recruitment of participants (n = 14) concluded upon data saturation. A thematic analysis was conducted. The COnsolidated criteria for REporting Qualitative research (COREQ) guidelines were used. Findings: Three main themes were identified: (1) overcome adversity through innovation, (2) acceptance of remote learning and (3) versatility of advanced practice nurses in an ongoing pandemic. Each theme was further explained by two subthemes to further elucidate the impact of COVID‐19 on the advanced practice nurse preparatory training and practice. Discussion: The evolution of the advanced practice nurse preparatory education catalysed by the COVID‐19 pandemic brought on innovation. The ability of advanced practice nurses to adapt to evolving healthcare needs was also highlighted. Conclusion: Although face‐to‐face teaching and services are gradually returning, some innovations that arose during the pandemic may be worth keeping. Implications for nursing: Nursing educators in higher education institutions can benefit from adopting technology to mitigate the challenges posed by the ongoing pandemic Implications for nursing policy: Nurse leaders should review the role of advanced practice nurses to determine how best to capitalise on their practice to meet rising healthcare needs. [ABSTRACT FROM AUTHOR]

This paper explores the personal and professional connections between clinical psychologists in the United Kingdom (UK) and critical/community psychology (CCP). Specifically, it asks how clinical psychologists define the area, how they relate to it and how they apply it in their work. Twenty clinical psychologists responded to an online survey, 12 of whom went on to take part in a follow‐up telephone interview. Data were analysed using inductive thematic analysis. The results are divided into three sections: i. "describing CCP": social justice and a questioning stance are considered, ii. "relating to CCP": an interplay between lifespan events and personal responses are described and iii. "applying CCP": a dynamic between role‐specific applications and reality checks that either enable or constrain is illustrated. Although the continued need for a CCP is described, the results highlight both challenges and tensions of practising CCP within clinical psychology. [ABSTRACT FROM AUTHOR]

Introduction: Burnout is defined as high emotional exhaustion and depersonalization, and low personal accomplishment from work. Prevalence of burnout among health‐system and ambulatory care pharmacists is unknown during the COVID‐19 pandemic. Objectives: The purpose of this research is to analyze burnout prevalence among health‐system pharmacists (HSPs) and ambulatory care pharmacists (ACPs) using the Oldenburg Burnout Inventory and Maslach Burnout Inventory. Methods: An electronic survey was sent to HSPs at two academic health systems in Chicago, IL. Demographics, risk of burnout based on two validated assessments (the Oldenburg Burnout Inventory [OLBI] and the Maslach Burnout Inventory [MBI]), burnout contributors, burnout mitigation strategies, and change in burnout due to COVID‐19 were collected. Burnout was defined as meeting any one criterion for high burnout on the following dimensions: exhaustion score and disengagement on the OLBI, and emotional exhaustion and depersonalization on the MBI. The co‐primary outcomes were the prevalence of burnout among HSPs, and the comparison of ACP burnout to that of non‐ambulatory HSPs. Secondary outcomes were comparison of burnout between the OLBI and MBI assessments, conceptualization of the causes and contributors of burnout and mitigation strategies among HSPs, and the self‐perceived effect of COVID‐19 on burnout severity. Results: Of the 113 pharmacists included in the study, HSP burnout prevalence as defined above was 87.6%, ACP burnout was 88.4%, and non‐ambulatory HSP burnout was 87.1%. There was no statistical difference between ACP and non‐ambulatory HSP burnout prevalence, either overall or in any specific burnout dimension. The OLBI and MBI captured similar rates of burnout. The commonly reported burnout causes were staffing and scheduling issues, precepting requirements, and patient needs. Participants' most reported coping strategies were spending time with family/friends, sleep, exercise, and recreational/relaxation activities. A majority of HSPs (78.2%) reported higher levels of burnout due to COVID‐19. Conclusion: HSP burnout during COVID‐19 pandemic is higher than cited in the pre‐COVID literature. Individual coping strategies are poor buffers for work‐related burnout. [ABSTRACT FROM AUTHOR]

Objectives: This qualitative study explored dental student participants' understanding of racism, their experiences, and responses to racism in dental school, and the impacts of their experiences.Methods: An interpretative phenomenological analysis design recruited students from the undergraduate dental degree and the BSc in Oral Health Science course at a UK dental school in December 2020. Two students and a qualitative researcher facilitated the online focus groups. A topic guide including scenario questions guided the discussions that lasted an average of 2 h. The recorded interviews were transcribed and analyzed using thematic analysis.Results: Twenty-five participants took part in five focus groups. Several themes emerged related to participants' experiences and reactions. They described a spectrum of racist encounters ranging from more subtle forms, such as stereotyping and microaggression to racial mocking. They were concerned about professionalism, not knowing how and when to respond to patients' racist behavior. They described gender discrimination and intersectional biases but felt compelled to put patients' interests first. They were unsure about how to respond to stereotyping or racism from staff because of perceived imbalances in the staff-patient-student triad relationship. They expressed fears of gaslighting and despondency. They also felt that the COVID-19 pandemic and anonymity from virtual learning environments enabled racist behavior.Conclusion: This study revealed a complex triad relationship between participants, staff and patients, and experience of intersectionality and three levels of racism: interpersonal, structural, and institutional. It highlighted the need for further research to develop actions including structural policies and equality and diversity training. [ABSTRACT FROM AUTHOR]

As we become ever more dependent on computer systems for much of what we do, we are losing the battle with cyber criminals and suffer from poor‐quality offerings. Mission‐critical, life‐critical, and infrastructure‐critical systems should be secure, reliable, and worthy of trust. Yet, that is not our experience. Many firms complain that entry‐level software workers do not have the skills and abilities to do what is required and yet we continue to teach computer science in ways very similar to what we did in the 1970s and '80s. As we spiral downward, it's hard to know precisely where the event horizon might be, so let us deal with it now. It's time for an educational and societal sea change when it comes to computing. Society has demonstrated the willingness to deal with such issues in medicine and other critical domains. Highly‐skilled clinical professors teach new physicians and specialists using the processes, methods, tools, and disciplines learners are expected to use as practicing professionals. It is time for the crucial software domains to leverage these proven methods and stop pushing off to employers these critical aspects of what it means to be a software professional. [ABSTRACT FROM AUTHOR]

Purpose/objectives: Although the bachelor's degree is the entry‐level degree option supported by the American Dental Hygienists' Association, the majority of dental hygiene programs remain associate degree. The aim of this study was to explore factors impacting entry‐level program choice and examine attitudes and perceptions of dental hygiene students pertaining to a bachelor's degree (BS) as the entry‐level degree. Methods: A cross‐sectional survey research design was utilized with a convenience sample of dental hygiene students (n = 429) from the United States and Canada. The 33‐item survey had four sections: demographics, factors influencing program choice, attitudes, and perceptions of a BS. Descriptive and inferential analysis was used to explore the relationship between variables. Results: The completion rate was 91% (n = 384). Factors that most influenced program choice included: location (74%), cost (68%), and time to completion (47.7%). Students with mothers who graduated from college were more likely to rank time to completion as their number one factor (37%) (χ2[df2] = 19.6, p < 0.001, phi = 0.33). Students in bachelor's programs were significantly more likely to believe a bachelor's degree better prepared clinicians for duties required in future practice and that the entry‐level degree should be raised to a bachelor's degree (p < 0.001). While more students in associate degree program agreed there were opportunities in education without a bachelor's degree (p < 0.05). Conclusion: Cost, time to completion, and location were the factors influencing students' program choice. While the dental hygiene profession advocates raising the entry‐level degree to a bachelor's programs, less than 40% of dental hygiene students supported this change. [ABSTRACT FROM AUTHOR]

Mental health nurses are struggling to describe their nursing identity as professional discipline in a changing mental health care. Measuring nurse‐sensitive patient outcomes and demonstrating nursing's effect(s) experienced by patients contribute to (re)discover the specific nursing identity. However, a valid and reliable scale is currently lacking. The aim of this study was the development and psychometric evaluation of the Mental Health Nurse‐Sensitive Patient Outcome Scale (MH‐NURSE‐POS) for inpatient psychiatric hospital settings. This three‐staged study resulted in a scale capturing how inpatients experience the contribution of nurses in their treatment in psychiatric hospitals. First, a draft questionnaire was developed based on a literature review, an independent expert's advice, and an experts panel. Second, the content validity was tested in a two‐round Delphi‐procedure and focus groups with patients. A pilot test, based on cognitive interviews, confirmed the feasibility of the questionnaire. Third, the psychometric properties of the mental health nurse‐sensitive patient outcomes were determined in a sample of 353 patients. The cross‐sectional study included a convenience sample of five psychiatric hospitals (Belgium). The factor structure (Kaiser–Meyer–Olkin measure of sampling adequacy 0.924; Bartlett's test of sphericity χ2 = 4162.537; df = 231; P < 0.001), convergent validity by the Individualized Care Scale (Pearson correlation 0.660; P < 0.001), and reliability (Cronbach's Alpha 0.854) were evaluated. The factor analysis resulted in a four‐factor solution representing growth, expression, control, and motivation. The Mental Health Nurse‐Sensitive Patient Outcome Scale is a valid and reliable tool to measure the effectiveness of mental health nurses from the patient perspective. [ABSTRACT FROM AUTHOR]

Objectives: To investigate the perspectives of doctors involved with voluntary assisted dying in Victoria regarding the Voluntary Assisted Dying Act 2017 (Vic) and its operation.Design, Setting, Participants: Qualitative study; semi-structured interviews with 32 doctors who had participated in the voluntary assisted dying system during its first year of operation (commenced 19 June 2019). Doctors were interviewed during April-July 2020.Results: Three major themes related to problems during the first year of operation of the Act were identified: the statutory prohibition of health professionals initiating discussions with their patients about voluntary assisted dying; the Department of Health and Human Services guidance requirement that all doctor-patient, doctor-pharmacist, and pharmacist-patient interactions be face-to-face; and aspects of implementation, including problems with the voluntary assisted dying online portal, obtaining documentary evidence to establish eligibility, and inadequate resourcing of the Statewide Pharmacy Service.Conclusions: Doctors reported only limited concerns about the Victorian voluntary assisted dying legislation, but have had some problems with its operation, including implications for the accessibility of voluntary assisted dying to eligible patients. While legislative change may resolve some of these concerns, most can be ameliorated by improving the processes and systems. [ABSTRACT FROM AUTHOR]

Chapter 1: Characterising Australia's rural specialist physician workforce: the professional profile and professional satisfaction of junior doctors and consultants Objective: To assess differences in the demographic characteristics, professional profile and professional satisfaction of rural and metropolitan junior physicians and physician consultants in Australia. Design, setting and participants: Cross‐sectional, population level national survey of the Medicine in Australia: Balancing Employment and Life longitudinal cohort study (collected 2008–2016). Participants were specialist physicians from four career stage groups: pre‐registrars (physician intent); registrars; new consultants (< 5 years since Fellowship); and consultants. Main outcome measures: Level of professional satisfaction across various job aspects, such as hours worked, working conditions, support networks and educational opportunities, comparing rural and metropolitan based physicians. Results: Participants included 1587 pre‐registrars (15% rural), 1745 physician registrars (9% rural), 421 new consultants (20% rural) and 1143 consultants (13% rural). Rural physicians of all career stages demonstrated equivalent professional satisfaction across most job aspects, compared with metropolitan physician counterparts. Some examples of differences in satisfaction included rural pre‐registrars being less likely to agree they had good access to support and supervision from qualified consultants (odds ratio [OR], 0.6; 95% CI, 0.3–0.9) and rural consultants being more likely to agree they had a poorer professional support network (OR, 1.9; 95% CI, 1.2–2.9). In terms of demographics, relatively more rural physicians had a rural background or were trained overseas. Although most junior physicians were women, female consultants were less likely to be working in a rural location (OR, 0.6; 95% CI, 0.4–0.8). Conclusion: Junior physicians in metropolitan or rural settings have a similar professional experience, which is important in attracting future trainees. Increased opportunities for rural training should be prioritised, along with addressing concerns about the professional isolation and poorer support network of those in rural areas, not only among junior doctors but also consultants. Finally, making rural practice more attractive to female junior physicians could greatly improve the consultant physician distribution. Chapter 2: General physicians and paediatricians in rural Australia: the social construction of professional identity Objective: To explore the construction of professional identity among general physicians and paediatricians working in non‐metropolitan areas. Design, setting and participants: In‐depth qualitative interviews were conducted with general physicians and paediatricians, plus informants from specialist colleges, government agencies and academia who were involved in policy and programs for the training and recruitment of specialists in rural locations across three states and two territories. This research is part of the Training Pathways and Professional Support for Building a Rural Physician Workforce Study, 2018–19. Main outcome measures: Individual and collective descriptors of professional identity. Results: We interviewed 36 key informants. Professional identity for general physicians and paediatricians working in regional, rural and remote Australia is grounded in the breadth of their training, but qualified by location — geographic location, population served or specific location, where social and cultural context specifically shapes practice. General physicians and paediatricians were deeply engaged with their local community and its economic vulnerability, and they described the population size and dynamics of local economies as determinants of viable practice. They often complemented their practice with formal or informal training in areas of special interest, but balanced their practice against subspecialist availability, also dependent on demographics. While valuing their professional roles, they showed limited inclination for industrial organisation. Conclusion: Despite limited consensus on identity descriptors, rural general physicians and paediatricians highly value generalism and their rural engagement. The structural and geographic bias that preferences urban areas will need to be addressed to further develop coordinated strategies for advanced training in rural contexts, for which collective identity is integral. Chapter 3: Sustainable rural physician training: leadership in a fragile environment Objectives: To understand Royal Australasian College of Physicians (RACP) training contexts, including supervisor and trainee perspectives, and to identify contributors to the sustainability of training sites, including training quality. Design, setting and participants: A cross‐sectional mixed‐methods design was used. A national sample of RACP trainees and Fellows completed online surveys. Survey respondents who indicated willingness to participate in interviews were purposively recruited to cover perspectives from a range of geographic, demographic and training context parameters. Main outcome measures: Fellows' and trainees' work and life satisfaction, and their experiences of supervision and training, respectively, by geographic location. Results: Fellows and trainees reported high levels of satisfaction, with one exception — inner regional Fellows reported lower satisfaction regarding opportunities to use their abilities. Not having a good support network was associated with lower satisfaction. Our qualitative findings indicate that a culture of undermining rural practice is prevalent and that good leadership at all levels is important to reduce negative impacts on supervisor and trainee availability, site accreditation and viability. Trainees described challenges in navigating training pathways, ensuring career development, and having the flexibility to meet family needs. The small number of Fellows in some sites poses challenges for supervisors and trainees and results in a blurring of roles; accreditation is an obstacle to provision of training at rural sites; and the overlap between service and training roles can be difficult for supervisors. Conclusion: Our qualitative findings emphasise the distinctive nature of regional specialist training, which can make it a fragile environment. Leadership at all levels is critical to sustaining accreditation and support for supervisors and trainees. Chapter 4: Principles to guide training and professional support for a sustainable rural specialist physician workforce Objective: To draw on research conducted in the Building a Rural Physician Workforce project, the first national study on rural specialist physicians, to define a set of principles applicable to guiding training and professional support action. Design: We used elements of the Delphi approach for systematic data collection and codesign, and applied a hybrid participatory action planning approach to achieve consensus on a set of principles. Results: Eight interconnected foundational principles built around rural regions and rural people were identified: FP1, grow your own "connected to" place; FP2, select trainees invested in rural practice; FP3, ground training in community need; FP4, rural immersion — not exposure; FP5, optimise and invest in general medicine; FP6, include service and academic learning components; FP7, join up the steps in rural training; and FP8, plan sustainable specialist roles. Conclusion: These eight principles can guide training and professional support to build a sustainable rural physician workforce. Application of the principles, and coordinated action by stakeholders and the responsible organisations, are needed at national, state and local levels to achieve a sustainable rural physician workforce. [ABSTRACT FROM AUTHOR]

Background: In the field of veterinary surgery, women neither marry nor have children at the same rate as men, and those who do may experience more career disruption as a result. The American College of Veterinary Internal Medicine (ACVIM) is 1 of the few areas of specialized medicine that is predominantly female; it is unknown if such a demographic shift would produce a different environment for individuals cultivating their personal life. Hypothesis/Objectives: To report data regarding subjective and objective aspects of the intersection of the personal and professional lives of Diplomates of the ACVIM. Sample Eight hundred ninety‐six surveys (781 completed) of ACVIM Diplomates, including cardiology, large and small animal internal medicine, neurology, and oncology. Methods: An 82‐item online survey was distributed to ACVIM Diplomates via Diplomate college listservs. Participation was voluntary. Results: Men were more likely to be married and have children than were women. Women had or adopted their first child at a later career stage compared with men, and agreed more strongly that career stage was an influential factor in family planning. Those with children worked fewer hours compared with those without, and this effect was greater among women. Women were more likely to require external childcare, but most men and women shared childcare responsibilities equally outside of working hours. Conclusions and Clinical Importance: The intersection of personal and professional life differs between men and women in the ACVIM, which may create different needs, preferences, or barriers to work‐life balance in the workforce. [ABSTRACT FROM AUTHOR]

Several studies have analysed the parent–professional relationship in the field of child protection. Although social workers tend to privilege interviews when working with families and view them as a means through which to build ties, few studies have focused on these interviews. To analyse how professionals and parents position themselves, we chose to focus on the content of these interviews and on the associated interactions. To this end, we recorded 13 parent–professional interviews after receiving the consent of the concerned parties. After analysing the interviews, we asked volunteer social workers and parents to analyse their own recorded interviews. Our results confirm the asymmetric nature of the parent–professional relationship. They show that professionals' viewpoints carry more weight than those of parents. They also underscore professionals' lack of openness and the strategies parents implement to cope with this power imbalance. Lastly, our results open new avenues for reflection on the evolution of practices that may enable professionals to better take into account families' viewpoints. [ABSTRACT FROM AUTHOR]

Background: Traumatic stress can adversely affect obstetricians' mental health and may affect care provision. Little is known about the impact of traumatic birth on the Australasian obstetric workforce. Aim: To assess the feasibility of conducting a binational survey of Australia and New Zealand obstetricians, trainees, and general practitioner obstetricians, to determine the prevalence of trauma exposure and associated factors. Materials and Methods: Feasibility was assessed using a convergent mixed‐methods design. The pilot online survey assessed traumatic exposure and included the Posttraumatic Diagnostic Scale, Copenhagen Burnout Inventory (work subscale), and Posttraumatic Growth Inventory (short form). Qualitative data were generated from survey comments and telephone interviews and thematically analysed. Results: Using various recruitment strategies, 32 participants completed the survey, and eight completed interviews. Most participants were consultant obstetricians. Nearly all (n = 31, 96.9%) had been exposed to traumatic birth(s). Three‐quarters had current symptoms of traumatic stress, one‐quarter had symptoms of work‐related burnout, but over two‐fifths reported significant post‐traumatic growth. Thematic analysis revealed perceptions that 'obstetricians experience substantial trauma', there is a 'culture of blame in obstetrics', and only 'in some workplaces it's supportive and safe'. Feasibility issues included the need to identify the respondent's level of training at the time when their most traumatic birth occurred, ensure anonymity of responses, and use a different tool to assess traumatic stress symptoms. Conclusions: Conducting a full study of this important topic appeared feasible. Standardised measures were acceptable. Revision of some questions is required. Anonymity needs to be promoted. [ABSTRACT FROM AUTHOR]

The Institute of Food Technologists' (IFT) success skills highlight the importance of developing professional skills in the food science curriculum. On the other hand, many students in higher education report that the public school system feels disconnected and unrelated to their future. In this context, this study aimed to evaluate student's perceived importance of professional skills, as well as to enhance their awareness and confidence in them. Students in a sensory science class at the University of Illinois completed a questionnaire at the beginning, middle, and end of the semester to assess their opinion of and self‐assurance in professional skills, such as writing technical reports, providing leadership, making formal presentations, and applying critical thinking. During the semester, students received basic training and guidelines on each skill and were given assignments and activities to practice them as part of their coursework. Results showed increased knowledge about the existence of IFT core competencies, as well as an increased motivation to practice success skills regularly. They also showed an increased perceived importance of presentation skills, leadership, dealing with group conflict, researching scientific information, and library resources. Confidence in 80% of the skills increased significantly by the end of the semester, after students had been presented with opportunities to practice and discuss the skills in groups. Students were also able to relate their learning of specific success skills to different course assignments. This study concluded that a general exposure to the importance of practicing professional skills in a college setting enhanced student's experiences and awareness by connecting them to their future professional careers. [ABSTRACT FROM AUTHOR]

Ruptures of the anterior cruciate ligament (ACL) typically occur in professional football and epidemiological data about longitudinal injury development is needed. This practice-driven investigation of media-derived ACL data provides information about professional football over 10 years. Injury registration was based on "kicker" sports magazine information that have been recorded over one decade in a standardized manner. Only ACL ruptures in the first German football league were included when they could be verified by a second reliable source. Level of evidence: III. Fifty-seven primary ACL ruptures were verified in the first German football league during the seasons 2007/2008 to 2016/2017. Among them, six re-injuries were found. Mean age at the time of injury was 24.8 years (SD 3.8). 31% (n = 20) of ACL ruptures occurred at the beginning of the season in August or September (p = 0.02). Mean time of RTC after primary ACL ruptures was 226.7 days (SD: 93.5) and 245.6 days (SD: 45.4) after re-injury. Although 62 (98%) players returned to football after injury and only one player immediately finished his career, 54.9% of the affected individuals played 3 years after the ACL rupture in the same league. ACL ruptures lead to longer absence than 7 months from football but does not give reason for immediate career-ending. The decrease in playing level after 3 years illustrate the serious consequences of ACL ruptures in football. Media-based injury reports may provide interesting information. [ABSTRACT FROM AUTHOR]

The present study examines suicide notes, using a sample of suicide notes from published corpora (N = 50), combined with a sample of recent suicide notes from a suicide website (N = 50). The present study proposes a model of differentiation in completed suicides. The characteristics of the suicide notes were analysed using a content dictionary developed by Giles in 2007, and the data subjected to smallest space analysis. Four themes of suicide completer were discovered: Egoistic Victim, Anomic Hero, Altruistic Professional and Fatalistic Revenger. The implications of these findings and the potential use in therapy work with suicide survivors and those with suicidal ideation are discussed, as well as suggestions for the direction of future research. [ABSTRACT FROM AUTHOR]

Aim: To explore what factors may influence recovery knowledge and attitudes among professionals in mental health. Methods: We utilized an existing dataset from a study that surveyed 331 subjects among 475 eligible professionals. We used data from 289 participants without missing values for the analyses (valid response rate = 60.8%). The questionnaire included three psychometrically tested scales: (a) Recovery Knowledge Inventory (RKI); (b) Recovery Attitudes Questionnaire (RAQ); and (c) Internal Work Motivation, as well as other variables. Mean‐based comparisons of the RKI and RAQ scores between several subgroups were examined. We also examined the correlation between RKI and RAQ scores and the continuous variables. Multiple linear regression was implemented to examine the simultaneous effects of the factors on RKI and RAQ scores. The mean age of participants was 39.9 years and 69.2% were female and 44.0% were nursing professionals. Results: Multiple linear regression analyses showed that the internal work motivation and the experience of discharging patients after a lengthy hospitalization were significantly and positively associated with recovery attitude. Working at community facilities and being young were significantly and weakly correlated with recovery knowledge. The experience of participation in self‐help groups exhibited positive relationships with RKI and RAQ scores, while education exhibited positive but weak relationships with RKI and RAQ scores. No significant relationship was observed in the regression analyses. Conclusions: Internal work motivation, the experience of discharging patients after a lengthy hospitalization, working at community facilities, and being young may positively contribute to better recovery knowledge and attitudes. Future research using a longitudinal design will explore other factors. [ABSTRACT FROM AUTHOR]

Background: Persistent rural-urban disparities for colorectal and cervical cancers raise concerns regarding access to treatment providers. To the authors knowledge, little is known regarding rural-urban differences in residential proximity to cancer specialists.Methods: Using the 2018 Physician Compare data concerning physician practice locations and the 2012 to 2016 American Community Survey, the current study estimated the driving distance from each residential zip code tabulation area (ZCTA) centroid to the nearest cancer provider of the following medical specialties involved in treating patients with colorectal and cervical cancer: medical oncology, radiation oncology, surgical oncology, general surgery, gynecological oncology, and colorectal surgery. Using population-weighted multivariable logistic regression, the authors analyzed the associations between ZCTA-level characteristics and driving distances >60 miles to each type of specialist. ZCTA-level residential rurality was defined using rural-urban commuting area codes.Results: Nearly 1 in 5 rural Americans lives >60 miles from a medical oncologist. Rural-urban differences in travel distances to the nearest cancer care provider(s) increased substantially for cancer surgeons; greater than one-half of rural residents were required to travel 60 miles to reach a gynecological oncologist, compared with 8 miles for their urban counterparts. Individuals residing within ZCTAs with a higher poverty rate, those of American Indian/Alaska Native ethnicity, and/or were located in the South and West regions were more likely than their counterparts to be >60 miles away from any of the aforementioned providers.Conclusions: The substantial travel distances required for rural, low-income residents to reach a cancer specialist should prompt a policy action to increase access to specialized cancer care for millions of rural residents. [ABSTRACT FROM AUTHOR]

Context: Medical students are expected to self‐regulate their learning within complex and unpredictable clinical learning environments. Research increasingly focuses on the effects of social interactions on the development of self‐regulation in workplace settings, a notion embodied within the concept of co‐regulated learning (CRL). Creating workplace learning environments that effectively foster lifelong self‐regulated learning (SRL) requires a deeper understanding of the relationship between CRL and SRL. The aim of this study was therefore to explore medical students' perceptions of CRL in clinical clerkships and its perceived impact on the development of their SRL. Methods: We conducted semi‐structured interviews with 11 purposively sampled medical students enrolled in clinical clerkships at one undergraduate competency‐based medical school. Data collection and analysis were conducted iteratively, informed by principles of constructivist grounded theory. Data analysis followed stages of open, axial and selective coding, which enabled us to conceptualise how co‐regulation influences the development of students' self‐regulation. Results: Data revealed three interrelated shifts in CRL and SRL as students progressed through clerkships. First, students' CRL shifted from a focus on peers to co‐regulation with clinician role models. Second, self‐regulated behaviour shifted from being externally driven to being internally driven. Last, self‐regulation shifted from a task‐oriented approach towards a more comprehensive approach focusing on professional competence and identity formation. Students indicated that if they felt able to confidently and proactively self‐regulate their learning, the threshold for engaging others in meaningful CRL seemed to be lowered, enhancing further development of SRL skills. Conclusions: Findings from the current study emphasise the notion that SRL and its development are grounded in CRL in clinical settings. To optimally support the development of students' SRL, we need to focus on facilitating and organising learners' engagement in CRL from the start of the medical curriculum. Is self‐regulated learning entirely self‐regulated? Bransen et al. share data demonstrating it to be embedded in co‐regulated learning, characterized shifts in regulatory focus, drivers for regulation, and co‐regulation partners. [ABSTRACT FROM AUTHOR]

Background: Pediatric clinical research in Japan has declined recently, and a new policy requiring manuscripts of residents for the pediatric board examination was established in 2017. However, pediatric faculties appear to be confused about research education in residencies. Methods: Questionnaires on research activities in residencies were distributed during the spring of 2018 to 500 pediatric directors in all educational hospitals in Japan. We collected data and performed statistical analyses: principal component analysis, multivariate analysis of variance, and multiple comparisons. Results: We received 252 (50.4%) responses and analyzed 243 (61 academic hospitals, 27 children's hospitals, 151 community hospitals, and 4 unknown). About 137 (56.4%) of them supported the new policy. There were three main contentious points on attitudes to pediatric research among respondents: passion for research, particularity about disease research, and public spirit. There was a difference in passion for research between academics and non‐academics. A difference in pride in particular research was observed between PhDs and MDs. Differences in public spirit were not associated with scholarly degrees or hospital type. Conclusions: To promote research education in residencies, pediatric faculties should confirm and share the aim that pediatricians should be scientific physicians with a research mentality developed through research activities and should notice social problems. Through research education, pediatric residents could approach the five outcomes for pediatricians provided by the Japan Pediatric Society: being general physicians, child healthcare supporters, advocates for children, scholars, and professionals. [ABSTRACT FROM AUTHOR]

Background: Midwifery‐led birth settings have been recommended as the most cost‐effective birthplaces for healthy women experiencing uncomplicated pregnancies. However, midwives complete most of their training in obstetric units where birth interventions are common. To prepare for working in a midwifery‐led setting training is a key priority. This study evaluated a postgraduate‐level midwifery module on Optimum Birth (defined as birth which supports physiology and empowerment, avoiding unnecessary intervention) designed to prepare midwives for supporting women in midwifery‐led settings. Methods: A mixed‐methods design was employed. Pre‐module and post‐module questionnaires measured attitudes, knowledge, confidence, and learning outcomes. Qualitative data collection included a final‐day focus group and 8‐ to 10‐week follow‐up interviews. The target for recruitment was 15 postgraduate midwives. Fifteen midwives practicing in three London boroughs enrolled of whom 14 completed the module. Pre‐total and post‐total scores were analyzed with paired‐sample t tests. Qualitative data were analyzed using thematic analysis. Results: Quantitative and qualitative data indicated that the module increased participants' self‐reported skills, knowledge, and confidence in practicing Optimum Birth. Qualitative data indicated ways in which midwives were implementing changes to promote Optimum Birth in their place of work. Attitudes were highly positive pre‐module and post‐module. Conclusions: The Optimum Birth module provided appropriate training for preparing midwives for the shift toward working in midwifery‐led settings. Midwifery leaders and managers should implement strategies to develop midwives' philosophy, knowledge, and skills to increase their readiness to work in midwifery‐led birth settings. [ABSTRACT FROM AUTHOR]

Introduction: Medical imaging is a profession where technology and practice is moving forward at a fast pace, while also being situated within rapidly evolving models of healthcare delivery. This requires capabilities in our graduates beyond the competencies to undertake the role. This study used an existing Professional Capability Framework as the foundation for the development of a survey tool to identify those capabilities most valued by the health services that provide placement opportunities for students. Methods: A prospective survey, conducted online, was used to gather the data from senior medical imaging staff who work regularly with students and new graduates. Results: The results identified the top capabilities within each of three domains of personal, interpersonal, and cognitive capabilities. The results from the personal domain show that remaining calm under pressure or when things take an unexpected turn; understanding personal strengths and limitations; being willing to face and learn from errors; wanting to do as good a job as possible and having energy, passion and enthusiasm for the profession and role are most valued by the profession. We have identified links between the most desired interpersonal capabilities and attributes of well‐functioning interprofessional teams and the cognitive capabilities align to those required for critical thinking and clinical reasoning. Conclusions: These results have allowed the curriculum development team to review the graduate profile of medical imaging technology graduates. The curriculum development team has begun a process to incorporate learning strategies that will encourage the development of these capabilities in our graduates. Medical imaging is a profession where technology and practice are moving forward at a fast pace, while being situated within rapidly evolving models of healthcare delivery. This requires graduates who will have the capabilities for current and emerging roles. This paper reports the outcomes from a survey that identified the top capabilities desired in medical imaging technology graduates in New Zealand. [ABSTRACT FROM AUTHOR]

Abstract: Objective: ED staff are subject to many stressors, but there are few descriptions of collective approaches to enhancing wellness in this setting. We aim to describe a programme developed to address these issues at department level, to report the feasibility and sustainability of the programme, and its impact on staff. Methods: The oneED programme was developed and delivered in a tertiary ED. The programme included a 1 day mindfulness workshop, followed by ongoing mindfulness activities embedded in clinical areas over the subsequent 12 months. A mixed‐methods evaluation of the programme was conducted, which included quantitative validated psychological tools to measure anxiety, depression and emotional exhaustion, and pragmatic evaluation using surveys of participants and iterative appreciative inquiry. Results: Eighty staff members attended the mindfulness workshop; 66 from ED. Following the workshop, understanding and frequency of mindfulness practice increased significantly in 47% of participants. Free‐text survey results demonstrated that staff found the programme to be acceptable (80% survey participants) and of perceived value to themselves (50%) and the ED (60%). Appreciative inquiry led to modification of the programme: the 4 min pause is now conducted weekly rather than daily, the pause consists of a variety of activities, and group activities are made more overtly optional. Conclusion: A departmental wellness programme embedding mindfulness practice is feasible and sustainable. Potential for success is enhanced by an approach that is open to modification according to each institution's culture. [ABSTRACT FROM AUTHOR]

Physician burnout, a work-related syndrome involving emotional exhaustion, depersonalization and a sense of reduced personal accomplishment, is prevalent internationally. Rates of burnout symptoms that have been associated with adverse effects on patients, the healthcare workforce, costs and physician health exceed 50% in studies of both physicians-in-training and practicing physicians. This problem represents a public health crisis with negative impacts on individual physicians, patients and healthcare organizations and systems. Drivers of this epidemic are largely rooted within healthcare organizations and systems and include excessive workloads, inefficient work processes, clerical burdens, work-home conflicts, lack of input or control for physicians with respect to issues affecting their work lives, organizational support structures and leadership culture. Individual physician-level factors also play a role, with higher rates of burnout commonly reported in female and younger physicians. Effective solutions align with these drivers. For example, organizational efforts such as locally developed practice modifications and increased support for clinical work have demonstrated benefits in reducing burnout. Individually focused solutions such as mindfulness-based stress reduction and small-group programmes to promote community, connectedness and meaning have also been shown to be effective. Regardless of the specific approach taken, the problem of physician burnout is best addressed when viewed as a shared responsibility of both healthcare systems and individual physicians. Although our understanding of physician burnout has advanced considerably in recent years, many gaps in our knowledge remain. Longitudinal studies of burnout's effects and the impact of interventions on both burnout and its effects are needed, as are studies of effective solutions implemented in combination. For medicine to fulfil its mission for patients and for public health, all stakeholders in healthcare delivery must work together to develop and implement effective remedies for physician burnout. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of this scoping review is to examine the literature regarding the development, implementation, scope and extent of Advanced Practice Radiation Therapist (APRT) roles in Australia in peer reviewed journals, government reports, conference proceedings and reports. A search was undertaken of PubMed, Web of Science and CINAHL, the ASMIRT website and, and Google Scholar to identify relevant documents. Combinations of keywords with Boolean operators ((advanced practice) OR (advanced practitioner) OR (specialist)) AND ((radiation therapist) OR (radiation therapy)) were used. Online and physical searches were conducted between July 16 and 23 2017. Results were not date limited. The searches retrieved 352 after duplicates were removed with 46 remaining after filtering for eligibility criteria. Items consisted of journal articles, conference abstracts, presentation slides, online presentations, State government and ASMIRT reports. A number of potential and existing APRT roles were found in the identified articles, including image review, stereotactic, treatment review, breast localisation, palliative radiotherapy, brachytherapy, radiation engineering and urology. Despite reports indicating that radiation therapists in Australia have been concerned with professional directions since 2001, there is little evidence of formal progress towards defined APRT roles. Several centres have implemented roles in a number of practice areas. The success of APRT roles lies in the ability to demonstrate that implementation goals have been achieved and that patient care has improved. The literature suggests that this is occurring, however, the presented evidence is not compelling. [ABSTRACT FROM AUTHOR]

Patient‐centred care and user involvement in healthcare services are much emphasised globally. This study was the first step in a multicentre research project in Finland to improve service users' and carers' opportunities to be more involved in mental health services. The aim of the study was to assess attitudes of professionals towards service user involvement. The data were collected via an online questionnaire from 1069 mental health professionals in four hospital districts. Altogether, 351 professionals responded. Data were analysed using appropriate statistical methods. According to the results, attitudes of healthcare professionals were more positive towards service users' involvement in their own treatment than in other levels of services. There were also differences in gender, age groups, working places and experiences in the attitudes of professionals concerning service users' involvement in their own treatment. These should be taken into account in the future when planning education for mental health professionals. In spite of governmental guidance on service user involvement and the growing body of knowledge of the benefits associated with it, change in attitudes towards user involvement is slow. Special attention should be paid to the attitudes of professionals working in inpatient care and of those with less working experience. [ABSTRACT FROM AUTHOR]

Abstract: Objectives: To analyze the role played by resilience in the dimensions that constitute burnout syndrome and, through that, the psychological health of a sample of nurses working at hospital centers. Methods: Cross‐sectional design, with a questionnaire as the tool. The sample consisted of 537 nurses from three public hospitals in Murcia, Spain. The questionnaire contained measures of the following variables: resilience, the three dimensions of burnout (emotional exhaustion, cynicism, and professional efficacy), and general psychological health, as well as sociodemographic and employment information. Results: The emotional exhaustion and cynicism dimensions of burnout were significantly linked to psychological health in the manner expected, but this was not the case for professional efficacy. A stepwise multiple regression analysis revealed the moderating role of resilience on the emotional exhaustion and cynicism dimensions, as well as on psychological health. Conclusions and Clinical Relevance: This study highlights the moderating role of resilience on burnout and psychological health. The practical implications of the results are discussed for the implementation of measures to increase resilience as a personal resource in order to improve the health and work performance of these professionals. [ABSTRACT FROM AUTHOR]

Background: Person‐centred care and co‐creation of care (productive interactions between clients and professionals) are expected to lead to better outcomes for clients. Professionals play a prominent role in the care of people with intellectual disabilities at residential care facilities. Thus, person‐centred care and co‐creation of care may be argued to lead to better outcomes for professionals as well. This study aimed to identify relationships of person‐centred care and co‐creation of care with the well‐being and job satisfaction of professionals working with people with intellectual disabilities (PWID). Methods: A cross‐sectional survey was conducted in 2015 among professionals working at a disability care organisation in the Netherlands. All 1146 professionals involved in the care of people with intellectual disabilities who required 24‐hours care were invited to participate. The response rate was 41% (n = 466). Results: Most respondents (87%) were female, and the mean age was 42.8 ± 11.5 years (22–65). The majority of respondents (70%) worked ≥22 hours per week and had worked for the organisation for ≥5 years (88%). Most of the respondents (76.8%) were direct care workers either in residential homes (59.3%) or in day activities (17.5%). After controlling for background variables, person‐centred care and co‐creation of care were associated positively with job satisfaction and well‐being of professionals. Conclusions: The provision of person‐centred care and co‐creation of care may lead to better well‐being and job satisfaction among professionals working with PWID. This finding is important, as such professionals often experience significant levels of work stress and burnout. [ABSTRACT FROM AUTHOR]

Background: Curriculum mapping involves systematic charting of programme content against professional competencies. This process can reveal strengths, gaps and redundancies within educational programmes. Methods: Curriculum mapping occurred using intended learning (ILOs) as documented in individual courses and linking them to units and elements within the occupational therapy minimum competency standards (ACSOT) and Miller's Framework of competency. Five occupational therapy academics and two impartial research assistants identified links between ILOs and units and elements of the ACSOT. Analysis of each course in the curriculum was completed by two reviewers. A systematic protocol was developed that enabled a transparent process and resolution of discrepancies between reviewers. Results: There were many links (47% of total) between the documented curriculum and ACSOT Unit 1 Professional attitudes and behaviours. The other six units of the ACSOT had between 5% (Unit 7) and 16% links (Unit 3). No links were made between ILOs and the elements of evaluation (4.4), cessation (3.7) and quality assurance of services (7.3). Difficulties mapping ILOs to units and elements revealed inconsistencies in specificity and language in the ILOs and also ambiguities and gaps within the standards themselves. Mapping against Miller's framework showed a steady increase in performance expectations of students across the four years levels. Conclusion: Curriculum mapping is recommended for critical reflection about content of occupational therapy programmes and to review pedagogical approaches. This process revealed strengths and weaknesses of the occupational therapy curriculum being mapped but also revealed insight into the current ACSOT that may inform future iterations. [ABSTRACT FROM AUTHOR]