Workforce

劳动力
  • 文章类型: Journal Article
    背景:许多受过教育的海外合格护士担任医疗保健助理和支持人员,以降低工资而没有职业晋升的余地。必须简化他们进入护理登记册的时间。目的:收集并向监管机构提供有关该队列护士的人口统计信息以及他们在尝试注册为护士时所面临的挑战的证据。设计:本研究采用混合方法解释性序贯设计。调查由857名未注册护士完成,随后进行了五次深入访谈。对两个阶段的结果进行三角测量。结果:结果表明,这些护士作为不合格等级的工作人员工作的特点和挑战,以降低工资而没有专业晋升的余地。讨论和结论:受过国际教育的护士的职业螺旋下降突显了过渡理论的教学应用的悖论性,因为这些护士被迫恢复到新手状态。
    Background: Many of the overseas qualified nurses educated work as health care assistants and support workers for a decreased wage without scope for professional advancement. There is an imperative to ease their entry to the nursing register.Aim: To gather and provide evidence to the regulatory bodies regarding the demographics of this cohort of nurses and the challenges they face in attempting to register as a nurse.Design: This study used a mixed-method explanatory sequential design. The survey was completed by 857 unregistered nurses followed by five in-depth interviews. Results from both phases were triangulated.Results: The results signpost to the characteristics and challenges of these nurses working as unqualified grades of staff for a decreased wage without scope for professional advance.Discussion and conclusion: The downward occupational spiral of internationally educated nurses underscores the paradoxical nature of the pedagogical application of transition theory, as these nurses are compelled to revert to a novice status.
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  • 文章类型: Journal Article
    随着美国董事会认证行为分析师(BCBAs)的数量和需求的增长,评估应用行为分析(ABA)劳动力的状况越来越重要。这项研究的目的是评估佛蒙特州ABA领域的现状。我们调查了练习RBT,BCaBA,BCBAs,BCBA-Ds,和佛蒙特州的ABA专业人士。我们收集并分析了有关从业人员培训和监督经验的信息,当前工作条件,与教育有关的优势和障碍,监督,以及在佛蒙特州ABA领域的实践,以及历史和人口统计信息。使用定量和定性方法分析了调查响应,并讨论了主题和结果。这项研究可以作为其他州进行类似分析的模型,以更好地满足ABA领域不断变化的景观需求。
    As the number of and demand for board certified behavior analysts (BCBAs) grows across the United States, it is increasingly important to evaluate the status of the applied behavior analysis (ABA) workforce. The goal of this study was to evaluate the current status of the field of ABA within the state of Vermont. We surveyed practicing RBTs, BCaBAs, BCBAs, BCBA-Ds, and ABA professionals within Vermont. We gathered and analyzed information regarding practitioner training and supervision experiences, current work conditions, strengths and barriers related to education, supervision, and practice within the field of ABA in Vermont, and historical and demographic information. Survey responses were analyzed using quantitative and qualitative methods and themes and results are discussed. This study may serve as a model for other states to conduct similar analyses to better meet the needs of the changing landscape of the field of ABA.
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  • 文章类型: Journal Article
    目的:本研究旨在探讨如何支持新手护士教育者在成为高等教育教育者时培养对教学和学习的理解,他们如何理解自己作为护理教育工作者的角色,并确定在一个跨国护理校园经历的发展教学内容知识的机遇和挑战是卡塔尔。
    背景:由于其专业的临床背景和经验,新手护士教育者经常被用来担任教育者的角色。然而,他们通常很少或根本没有关于教育教学法和当前教学实践的正规教育。这些专业学习需求可能难以驾驭,并为具有挑战性的新角色做出贡献。新手护士教育工作者经常描述需要对他们的教学实践有更多的信心,并理解他们的局限性和关于教学和学习的知识差距。尽管研究和政策强调需要训练有素的护士教育工作者,具有适当的教育和知识,以在中学后的学术环境中教学,护理教育仍然与不一致的招聘方法和对专业发展的支持不足作斗争,引发持续的担忧。
    方法:本研究采用定性案例研究。
    方法:使用四种方法收集数据:教学工件收集,个人引导反思性问题,一对一访谈和观察笔记。七名新手护士教育工作者参与了这项研究。使用循环编码进行数据分析以识别主题。
    结果:与新手护士教育者专业发展相关的三个主题包括1)初始和持续的准备,2)过渡到教育者角色期间所需的专业学习和支持,以及3)新手护士教育者专业学习的障碍。
    结论:新手护士教育者在开始新的角色时可能有显著的专业学习需求。至关重要的是要确保周到和精心设计的入职流程包括早期介绍专业发展,同时提供持续的专业学习机会。新手护士教育工作者将利用各种支持,因为他们开始他们的新角色。开发全面的教学实践和教学内容的知识是困难的,同时导航一个完整的教学负荷。因此,在新手护士教育者的职业生涯中,早期的工作量调整将为专业发展留出时间。
    OBJECTIVE: This study aimed to explore how novice nurse educators are supported in cultivating an understanding of teaching and learning as they become educators in higher education, how they understand their roles as nursing educators and to identify the opportunities and challenges in developing pedagogical content knowledge experienced at one transnational nursing campus is Qatar.
    BACKGROUND: Novice nurse educators are frequently employed to begin educator roles because of their specialised clinical backgrounds and experiences. Yet, they often have little or no formal education regarding educational pedagogy and current teaching practices. These professional learning needs can be difficult to navigate and contribute to a challenging new role. Novice nurse educators often describe a need for more confidence in their teaching practices and understanding of their limitations and knowledge gaps regarding teaching and learning. Although research and policy emphasise the need for well-trained nurse educators with the appropriate education and knowledge to teach in post-secondary academic settings, nursing education still struggles with inconsistent approaches to recruitment and inadequate support for professional development, raising ongoing concerns.
    METHODS: A qualitative case study was used for this study.
    METHODS: Four methods were used to collect data: teaching artifact collection, individual guided reflective questions, one-on-one interviews and observational notes. Seven novice nurse educators participated in this study. Data analysis was done using cycle coding to identify themes.
    RESULTS: Three themes related to novice nurse educators\' professional development include 1) initial and ongoing preparation, 2) professional learning and support needed during transitions into educator roles and 3) barriers to novice nurse educator professional learning.
    CONCLUSIONS: Novice nurse educators may have significant professional learning needs as they begin new roles. It is essential to ensure that thoughtful and well-designed onboarding processes includes an early introduction to professional development while offering ongoing professional learning opportunities. Novice nurse educators will draw on various supports as they start their new roles. Developing well-rounded teaching practices and pedagogical content knowledge is difficult while navigating a full teaching load. Therefore, workload adjustments early in novice nurse educators\' careers will allow time for professional development.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    估计有1300万澳大利亚人患有一种或多种慢性眼病,随着患病率的增加。今天和未来的眼部护理服务依赖于有效的劳动力,其中护士起着举足轻重的作用。尽管护士参与了眼部护理,没有描述他们订婚的信息,部署,培训,和意见。本文首次回顾了澳大利亚护士对眼科护理的参与。
    我们进行了一项关于澳大利亚护士参与眼部护理的电子调查。定量问题通过描述性分析,卡方和双变量相关系数,假设幂为0.80,显著性为p=0.05。扎根理论,情感和饱和度分析提取了关键主题,来自定性问题的意义和观点。
    有n=238名澳大利亚护士参与者。结果表明,他们对自己的角色感到满意,从事广泛的医疗保健和眼部护理环境和组织,适应他们的雇主。任务转移“到”和“从”护士没有得到普遍支持,但参与者认为这是必要的。令人担忧的是,结果表明,68.6%的参与者将在未来十年内退出眼部护理,研究生和早期职业护士进入该领域的途径不足。
    澳大利亚要满足并维持其人口的眼部护理服务,必须采取措施提高学生的曝光率和进入该领域的能力,毕业生,和早期职业护士。迫切需要为任务转移培训和准备护士的策略,眼科护理部门必须专业化以实现积极的变化。
    UNASSIGNED: An estimated 13 million Australians live with one or more chronic eye conditions, with prevalence increasing. Eye care services today and in the future rely on effective workforces, in which nurses play a pivotal role. Despite nurse involvement in eye care, there is no information describing their engagement, deployment, training, and opinion. This paper offers the first review of nurse engagement in eye care in Australia.
    UNASSIGNED: We conducted an e-survey on Australian nurse engagement in eye care. Quantitative questions were analysed by descriptive, chi-square and bivariate correlation coefficients with assumed power of 0.80, and significance of p=0.05. Grounded theory, sentiment and saturation analysis extracted key themes, meaning and opinion from the qualitative questions.
    UNASSIGNED: There were n=238 Australian nurse participants. Results indicated they were satisfied with their role, engaged in a wide range of healthcare and eye care setting and organisations, and adapted to their employer. Task-shifting \"to\" and \"from\" nurses was not universally supported but recognised by participants as necessary. Of concern, the results suggested that 68.6% of our participants would exit eye care over the next ten years, with insufficient entry pathways into the field for graduate and early-career nurses.
    UNASSIGNED: For Australia to meet and sustain eye care services for its population, steps must be taken to improve exposure and entry to the field for students, graduates, and early-career nurses. Strategies to train and prepare nurses for task-shifting are urgently required and the eye care nursing sector must professionalise to achieve positive change.
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  • 文章类型: English Abstract
    调查中国二级和三级医院放射科医学影像技术人员(MIT)的现状和需求,为医学影像技术产业的发展和卫生行政部门的相关决策提供参考和支持。
    问卷由中国影像技术学会制定。参与调查的每个医院的放射科都推荐了一个MIT填写在线问卷。内容包括:(a)医院的基本信息;(b)医院MIT的概述;(c)日常工作;(d)职业发展和晋升;(e)研究现状和需求,等。使用Mann-WhitneyU检验和卡方检验比较不同地区之间或不同级别医院之间需要的MIT的选定数量的差异。
    在这次调查中,最终从全国31个省份的5403家医院获得有效问卷。样本中涵盖的医院的MIT总数为67481。每个医院的MIT数量为9(5,16)。男女比例为1.41:1。20至40岁的MIT占78%。完成博士学位的MIT比例,master\'s,本科,大专,中专及以下学历为0.6%,3.3%,60.7%,30.8%,和4.55%,分别。主要MIT的比例,MIT副局长,主管MIT,主要MIT,助理技术员和以下人员为1.0%,4.21%,22.1%,51.8%,和20.9%,分别。MIT的整体专业满意度良好。“缺乏学习和交流机会”被引述为MIT在提高与工作相关的能力方面遇到的主要问题。59.2%的受访者在过去五年没有发表学术论文,在过去的五年中,只有7.0%的受访者在科学引文索引(SCI)中的期刊上发表过文章。
    中国的MIT平均相对年轻,MIT的数量大大增加。在这个阶段,应更加重视MIT的人才培养和继续教育,进一步加强学科建设,为我国医学影像技术产业的发展提供有力支撑。
    UNASSIGNED: To investigate the status quo and the needs of medical imaging technicians (MITs) in the radiology department of secondary and tertiary hospitals in China, so as to provide references and support for the development of the medical imaging technology industry and the relevant policymaking by health administrative departments.
    UNASSIGNED: The questionnaire was developed by the Chinese Society of Imaging Technology. The radiology department of each hospital involved in the survey recommended one MIT to fill out the online questionnaire. The contents included: (a) the basic information of the hospital; (b) a general overview of the MITs in the hospital; (c) daily work; (d) career development and promotion; (e) research status and needs, etc. Differences in the number of MIT staff were compared using the Mann-Whitney U test and the chi-square test was used to compare the differences in the selected numbers of MITs in need between regions or between different levels of hospitals.
    UNASSIGNED: In this investigation, valid questionnaires were finally obtained from a total of 5403 hospitals in 31 provinces in China. The total number of MITs of the hospitals covered in the sample was 67481. The number of MITs in each hospital was 9 (5, 16). The male-to-female ratio was 1.41:1. MITs who were 20 to 40 years old accounted for 78%. The proportions of MITs who had completed doctorate, master\'s, undergraduate, junior college, and technical secondary school or lower level education were 0.6%, 3.3%, 60.7%, 30.8%, and 4.55%, respectively. The proportions of chief MITs, deputy chief MITs, supervisor MITs, primary MITs, assistant technician and those below were 1.0%, 4.21%, 22.1%, 51.8%, and 20.9%, respectively. The overall professional satisfaction of MITs was good. \"Lack of opportunities for learning and communication\" was quoted as the main problem MITs encountered in regard to improving their job-related competency. 59.2% of the respondents had not published any academic papers in the past five years, and only 7.0% of the respondents had published in journals included in the Science Citation Index (SCI) in the past five years.
    UNASSIGNED: MITs in China are on average relatively young and the number of MITs has greatly increased. At this stage, more attention should be given to the cultivation of talents and continuing education of MITs and the construction of the discipline should be further strengthened, so as to provide strong support for the development of the medical imaging technology industry in China.
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  • 文章类型: Journal Article
    运作良好的多学科团队可优化资源利用并减少护理冗余,碎片化,和浪费。协作努力使人们更清楚地了解老年人的需求和愿望,显著减少住院天数。尽管研究有限,尤其是在印度尼西亚,调查专业人员在政府疗养院实施多学科合作的经验,护理质量仍然是一个值得关注的问题。
    本研究旨在从各个学科的角度探讨在养老院中实施多学科协作。
    使用描述性现象学研究,与多学科护理提供者进行半结构化访谈和焦点小组讨论,包括护士,医生,社会工作者,物理治疗师,心理学家,职业和娱乐活动教练,和雅加达省政府拥有的疗养院的神职人员。共有64名参与者参与其中,数据收集时间为2022年9月至2023年7月。使用基于内容的分析对数据进行分析。
    出现了三个主要主题:1)多重合作的背景,2)实施多重合作的障碍,3)非最佳多学科合作的影响。疗养院管理的多学科团队主要在有限的支持系统下实施以专业为中心的护理。虽然提供商通常会积极地看待协作,缺乏专业人员之间的共同责任和共同工作。
    这项研究强调需要改善疗养院的多学科合作,以提高老年人的护理质量。虽然提供商积极看待协作,缺乏共同责任和共同工作等障碍仍然存在。通过改进沟通和综合病例报告系统来增强团队合作的凝聚力至关重要。解决人力资源和系统障碍也至关重要。通过克服这些挑战,养老院可以优化资源利用,减少护理冗余,更好地满足老年居民的多样化需求。
    UNASSIGNED: A well-functioning multidisciplinary team optimizes resource utilization and reduces care redundancy, fragmentation, and wastage. Collaborative efforts yield a clearer understanding of older people\'s needs and desires, significantly reducing hospitalization days. Despite limited studies, particularly in Indonesia, investigating professionals\' experiences in implementing multidisciplinary collaboration in government nursing homes, nursing care quality remains a concern.
    UNASSIGNED: This study aimed to explore the implementation of multidisciplinary collaboration in nursing homes from the perspectives of various disciplines.
    UNASSIGNED: A descriptive phenomenological study was used with semi-structured interviews and focus group discussions with multidisciplinary care providers, including nurses, doctors, social workers, physiotherapists, psychologists, occupational and recreational activity instructors, and clergy in nursing homes owned by the Jakarta provincial government. A total of 64 participants were involved, and data were collected from September 2022 to July 2023. Data were analyzed using content-based analysis.
    UNASSIGNED: Three main themes emerged: 1) context of multiple collaborations, 2) barriers to implementing multiple collaborations, and 3) impacts of non-optimal multidisciplinary collaborations. Nursing home management\'s multidisciplinary teams predominantly implement professional-centered care with limited support systems. While providers generally perceive collaboration positively, shared responsibility and joint work among professionals are lacking.
    UNASSIGNED: This study highlights the need to improve multidisciplinary collaboration in nursing homes to enhance care quality for older individuals. While providers view collaboration positively, barriers like a lack of shared responsibility and joint work persist. Enhancing teamwork cohesion through improved communication and integrated case reporting systems is crucial. Addressing human resource and systemic barriers is also vital. By overcoming these challenges, nursing homes can optimize resource use, reduce care redundancy, and better meet the diverse needs of older residents.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    提高妇女在放射科的地位对于更好的工作环境至关重要。商界有强有力的证据表明,女性领导人通过提高工作场所的财务可行性和加强合作来改善工作场所,工作满意度,和订婚。多样化的领导力促进创新,女性以独特的见解和协作方式解决问题。领导力中的性别多样性与改善患者预后相关,因为女性领导者优先考虑以患者为中心的护理和沟通。妇女创造可持续的,生产性工作和改善放射学。女性是强有力的榜样,激励下一代女性在放射学和解决性别差异。增加放射学领域的女性领导者对于增加放射学领域的女性人数至关重要。本文总结了女性在担任领导角色时面临的许多挑战:组织偏见优先考虑男性观点,边缘化女性的声音和贡献,缺乏榜样,缺乏时间(“第二班次”),缺乏自信,缺乏兴趣或感知到的利益,缺乏支持,倦怠,和以前的糟糕经历。虽然系统性问题难以克服,本文通过提供策略来提高工作满意度并为领导带来新的有价值的观点,从而帮助培训和发展女性放射科医生。
    Improving the status of women in radiology is crucial to better work environments. There is strong evidence in the business world that women leaders improve the workplace by making it more financially viable and by increasing collaboration, job satisfaction, and engagement. Diverse leadership fosters innovation, and women approach problem-solving with unique insights and collaborative styles. Gender diversity in leadership correlates with improved patient outcomes because women leaders prioritize patient-centered care and communication. Women create sustainable, productive work and improve radiology. Women serve as powerful role models, inspiring the next generation of women in radiology and addressing gender disparities. Increasing women leaders in radiology is essential to increase the number of women in radiology. This article summarizes many challenges women face when taking leadership roles: organizational biases prioritizing male viewpoints and marginalizing women\'s voices and contributions, a lack of role models, a lack of time (\"second shift\"), a lack of confidence, a lack of interest or perceived benefit, a lack of support, burnout, and previous poor experiences. While systemic issues are difficult to overcome, this article assists in the training and development of women radiologists by offering strategies to enhance job satisfaction and bring new and valuable perspectives to leadership.
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  • 文章类型: Editorial
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