workforce development

劳动力发展
  • 文章类型: Journal Article
    临床研究需要一支称职的临床研究专业人员(CRP),他们训练有素,能够在自己的角色中执行各种复杂的任务。临床试验能力联合工作组(JTF)框架为开展高质量的临床研究建立了必要的领域,可以指导CRP的专业发展。研究专业人员网络(RPN)研讨会成立于2017年,重点是发展正在进行的机构间,同行主导,以JTF为中心的CRPs继续教育。四个机构及其附属机构是合作的一部分。
    研讨会参与者调查数据和其他指标收集了四个学年。进行了定量和定性分析,以评估参与者的经验并确定相关主题。
    参与者对研讨会表现出总体高度满意,并显着重视人际关系,通过讲习班,机构间合作成为可能。
    这些机构间RPN研讨会已发展成为实践社区,可以扩展到未来的机会。
    UNASSIGNED: Clinical research requires a competent workforce of clinical research professionals (CRPs) who are well-trained to perform varied and complex tasks within their roles. The Joint Task Force for Clinical Trial Competency (JTF) framework established essential domains for conducting high-quality clinical research that can guide professional development of CRPs. The Research Professionals Network (RPN) Workshops were established in 2017 to focus on developing ongoing inter-institutional, peer-led, JTF-centric continuing education for CRPs. Four institutions and their affiliates are part of the collaboration.
    UNASSIGNED: Workshop participant survey data and other metrics were collected over four academic years. Both quantitative and qualitative analyses were performed to assess participant experience and identify relevant themes.
    UNASSIGNED: Participants demonstrated overall high satisfaction with the workshops and significantly value the interpersonal, inter-institutional collaboration made possible through the workshops.
    UNASSIGNED: These inter-institutional RPN Workshops have evolved into a Community of Practice, which can be expanded into future opportunities.
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  • 文章类型: Journal Article
    背景:武装冲突和战争是公共卫生灾难。公共卫生行动在与冲突有关的紧急情况和康复中以及在预防战争和促进和平中都具有至关重要的作用。将其转化为公共卫生培训和能力刚刚开始出现,尤其是在欧洲。
    方法:我们进行了范围审查,以绘制和确定公共卫生教育和公共卫生人员培训在预防战争和促进和平方面的作用,正如科学文献所反映的那样。我们在PubMed搜索,CINAHL,PsycINFO,Embase,WebofScience核心收藏以及英文收录材料的参考列表,德语和波兰语最初关注欧洲地区,后来我们把搜索扩展到了欧洲以外.
    结果:我们纳入了7篇出版物,从意见到课程和培训的实证评估。教育方案主要是短期和课外研究生课程,面向受冲突影响国家和未受战争直接影响国家的公共卫生专业人员。出版物侧重于战争时期的公共卫生行动,没有说明战争或武装冲突的背景和类型。在紧急情况下,专注于应急响应和多学科合作的能力教学,经常借鉴自然灾害和疾病爆发管理的经验和例子。
    结论:关于战时和促进和平的公共卫生教育能力的科学论述,主要集中在紧急响应行动。预防战争和促进和平是缺失的重点,这需要在公共卫生培训中更加突出。公共卫生教育和培训应确保预防战争与促进和平,以及战争时期的公共卫生行动,包括在他们对公共卫生专业人员的能力中。
    BACKGROUND: Armed conflict and war are public health disasters. Public health action has a crucial role in conflict-related emergencies and rehabilitation but also in war prevention and peace promotion. Translating this into public health training and competencies has just started to emerge, especially in Europe.
    METHODS: We conducted a Scoping Review to map and identify the role of public health education and training of public health workforce relating to the prevention of war and promoting peace, as reflected in the scientific literature. We searched in PubMed, CINAHL, PsycINFO, Embase, Web of Science Core Collections as well as the reference list of included material in English, German and Polish. Focusing initially on the European region, we later expanded the search outside of Europe.
    RESULTS: We included 7 publications from opinion pieces to an empirical assessment of curricula and training. The educational programs were predominantly short-term and extra-curricular in postgraduate courses addressing both public health professionals in conflict-affected countries as well as countries not directly affected by war. Publications focused on public health action in times of war, without specifying the context and type of war or armed conflict. Competencies taught focused on emergency response and multi-disciplinary collaboration during emergencies, frequently drawing on experience and examples from natural disaster and disease outbreak management.
    CONCLUSIONS: The scientific discourse on competences in public health education for times of war and for the promotion of peace, predominately focuses on immediate emergency response actions. The prevention of war and the promotion of peace are missing foci, that need to feature more prominently in public health training. Public Health Education and training should ensure that war prevention and peace promotion, as well as public health action in times of war, are included in their competencies for public health professionals.
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  • 文章类型: Journal Article
    目的:本研究旨在探索营养和饮食本科生的专业前认同感,以指导课程开发,以更好地支持学生的期望,并促进不断变化的职业中的职业准备。
    方法:3月份的定性焦点小组讨论,2021年。
    方法:澳大利亚大学。
    方法:在阳光海岸大学注册营养学士(n=50)或营养学学士(n=58)的一年级学生。
    方法:学生社会人口统计学,对职业选择和职业前身份的动机和影响,对专业能力和实践的期望,学位,和职业期望。
    方法:进行描述性统计,和焦点小组讨论使用框架方法进行了分析。
    结果:两个队列的动机和技能是一致的,以对营养和尊重的兴趣为中心,专业行为和沟通。两个学位的期望相似,专注于放置,真实世界的学习经验,和员工支持。这两个队列的职业期望包括企业所有权。
    结论:这项研究提供了对学生职业前身份的理解,对于营养学和营养学学生来说都是相似的。这项研究中确定的动机可用于为支持职业准备的营养和饮食计划提供信息。
    OBJECTIVE: This study aimed to explore the preprofessional identity of undergraduate nutrition and dietetic students to guide curriculum development to better support the expectations of students and promote career readiness in a changing profession.
    METHODS: Qualitative focus group discussions in March, 2021.
    METHODS: An Australian university.
    METHODS: First-year students enrolled in the Bachelor of Nutrition (n = 50) or Bachelor of Dietetics (n = 58) at the University of the Sunshine Coast.
    METHODS: Student sociodemographics, motivations for and influences on career choice and preprofessional identity, expectations of professional competency and practice, degree, and career expectations.
    METHODS: Descriptive statistics were conducted, and focus group discussions were analyzed using the Framework Approach.
    RESULTS: Motivations and skills were consistent across both cohorts, centering on an interest in nutrition and respectful, professional conduct and communication. Expectations were similar across both degrees, with a focus on placement, real-world learning experiences, and staff support. Career expectations for both cohorts included business ownership.
    CONCLUSIONS: This research provided an understanding of students\' preprofessional identity, which was similar for both nutrition and dietetics students. Motivations identified in this research can be used to inform activities across nutrition and dietetic programs that support career readiness.
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  • 文章类型: Journal Article
    目的:为了解决护理危机,必须了解影响护理能力的因素,这对于提供优质的病人护理至关重要。
    背景:面对人口变化和日益复杂的医疗保健需求,中国的护理部门正在努力应对劳动力短缺和提高核心竞争力的需要。本研究探讨了社会支持的相互作用,心理韧性,中国各种医院环境中的正念和护理能力。
    方法:通过横断面调查,941名三级护士,二级和私立医疗机构完成了自我评估问卷.分析包括多元线性回归和比较方法,以评估心理弹性,正念和社会支持对护理能力有影响。
    结果:研究结果表明,心理韧性与护理能力之间存在很强的关系,弹性是一个关键的预测指标。正念和社会支持也大大有助于能力水平。三级医院的护士比二级或私人设施的护士表现出更高的能力。
    结论:提高护理能力需要针对专业发展和支持性工作场所文化的针对性干预措施。结合心理韧性,将社会支持和正念纳入护士培训对于改进实践和政策至关重要。
    OBJECTIVE: To address the nursing crisis, it is imperative to comprehend the factors that influence nursing competencies, which are crucial for the delivery of quality patient care.
    BACKGROUND: Facing demographic shifts and increasingly complex healthcare demands, China\'s nursing sector struggles with workforce shortages and the need to enhance core competencies. This research explores the interplay of social support, psychological resilience, mindfulness and nursing competencies in various hospital environments in China.
    METHODS: Through a cross-sectional survey, 941 nurses across tertiary, secondary and private healthcare settings completed self-assessment questionnaires. The analysis included multiple linear regression and comparative methods to assess how psychological resilience, mindfulness and social support have an impact on nursing competencies.
    RESULTS: Findings revealed a strong relationship between psychological resilience and nursing competencies, with resilience being a key predictor. Mindfulness and social support also significantly contributed to competency levels. Nurses in tertiary hospitals showed greater competencies than those in secondary or private facilities.
    CONCLUSIONS: Enhancing nursing competencies requires targeted interventions focusing on professional development and supportive workplace cultures. Incorporating psychological resilience, social support and mindfulness into nurse training is crucial for improving practice and policy.
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  • 文章类型: Journal Article
    2017年引入了护理助理(NA)角色,并实施了一项学员试点计划,并于2019年由护理和助产委员会(NMC)监管。这一角色弥合了医疗保健助理(HCA)和注册护士(RN)之间的差距,允许RNs专注于复杂的护理。NMC登记册上有超过9000个NAS,培训中也有更多,了解RN对NA专业身份的看法很重要。对RN进行定性调查的结果(n=23)确定了以下主题:NMC标准和实践范围;“廉价护士”;技能发展和进步;支持性桥梁作用。虽然很有价值,这个角色被认为是一种威胁,模棱两可,执行不一致。其含义是,需要解决角色模糊性和缺乏标准化问题,并且必须为专业人士和公众阐明对这些问题的清晰理解。
    The nursing associate (NA) role was introduced in 2017 with a pilot programme of trainees, and in 2019 became regulated by the Nursing and Midwifery Council (NMC). The role bridges the gap between the healthcare assistant (HCA) and registered nurse (RN), allowing RNs to focus on complex care. With over 9000 NAs on the NMC register and more in training, it is important to understand RN perceptions of the NA professional identity. The findings of a qualitative survey of RNs (n=23) identified the following themes: NMC standards and scope of practice; The \'cheap nurse\'; Skills development and progression; A supportive bridging role. Although valued, the role was perceived as a threat, ambiguous and inconsistently implemented. The implications are that the role ambiguity and lack of standardisation need addressing and a clear understanding of these must be articulated for the professions and public alike.
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  • 文章类型: Journal Article
    种族暴力的旁观者通常被认为是在人际层面目睹种族压迫的公开行为的人,比如警察的暴行.然而,健康研究中的种族暴力,教育学,实践往往表现得更隐蔽,比如通过认知不公正,基于赤字的框架,种族本质主义。我们的目标是扩大我们对卫生机构内种族暴力的旁观者和肇事者的看法,以及如何部署反种族主义旁观者行为方法来干预这种暴力。现有的公共卫生反种族主义框架,如公共卫生关键种族实践和PEN-3文化模式,提供有价值的结构和过程,通过这些结构和过程,健康从业者,研究人员,和学者可以破坏种族暴力。这种反种族主义框架非常适合为公共卫生和卫生保健领域的个人提供知识,技能,以及作为参与反对种族主义的旁观者在其背景下进行干预的效力。为了说明反种族主义框架内的结构如何被各种健康环境中的旁观者应用,我们概述了反种族主义旁观者干预三种情况的案例。配备反种族主义工具的卫生机构中的旁观者越多,这些机构中提升白人至上地位的更有可能的规范行为可能被破坏,健康公平可以实现。
    A bystander to racial violence is conventionally thought of as someone who witnesses an overt act of racial oppression at the interpersonal level, such as police brutality. However, racial violence in health research, pedagogy, and practice often shows up more covertly, like through epistemic injustice, deficits-based framing, and racial essentialism. We aim to expand how we think about bystanders and perpetrators of racial violence within health institutions, and how antiracism bystander behavioral approaches can be deployed to intervene against such violence. Existing public health antiracism frameworks, such as the Public Health Critical Race Praxis and the PEN-3 Cultural Model, offer valuable constructs and processes through which health practitioners, researchers, and academics can disrupt racial violence. Such antiracism frameworks are well suited to provide individuals within public health and health care with the knowledge, skills, and efficacy to intervene as engaged bystanders against racism within their contexts. To illustrate how constructs within antiracism frameworks can be applied by bystanders in various health settings, we outline case examples of antiracism bystander interventions across three scenarios. The more bystanders there are within health institutions that are equipped with antiracism tools, the more likely normative behaviors uplifting White supremacy within these institutions can be disrupted and health equity can be actualized.
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  • 文章类型: Journal Article
    背景:以前的研究已经探索了一般医疗环境中由专职医疗专业人员进行研究的促进因素和障碍。由于精神卫生系统被公认为资金严重不足,并且比一般医疗服务功能更差,目前尚不清楚已公布的促进因素和障碍是否也适用于心理健康环境.本研究旨在探索与研究相关的知识,基于大型公共精神卫生服务的专职精神卫生临床医生的理解和实践。
    方法:一项混合方法研究招募了59名职业治疗师和社会工作者,他们在墨尔本一家专门的大都市公共心理健康服务机构工作,澳大利亚。定量调查结果在其他地方报告。对16名调查响应者志愿者进行了半结构化访谈。对定性调查和访谈数据进行了专题分析。
    结果:确定了四个主要主题:研究必须与临床实践联系;知识的碎片;实践中的研究;研究不是我专业身份的一部分。第三个主题,在实践中的研究,包括四个子主题:没有时间研究临床角色,缺少通信,缺乏所有权,以及我需要做什么研究。
    结论:这项研究发现,研究和研究相关活动不被认为是心理健康社会工作者和职业治疗师职业身份的一部分。处理此问题可能有助于实现这些临床医生的“专业高峰身体协会”实践准则和政府规定的实践标准。我们提供了几种策略来鼓励临床医生和服务人员将与研究相关的活动视为临床角色的日常部分。这一点尤其重要,如果我们认为联合医疗循证实践需要合理水平的研究相关技能和/或能力来评估,实践,评估和调整他们的循证实践。
    BACKGROUND: Previous studies have explored facilitators and barriers to research conducted by allied health professionals in general medical settings. Since the mental health system is acknowledged to be significantly under-funded and more poorly functioning than general medical services, it is unclear whether the published facilitators and barriers also apply to mental health settings. This study sought to explore the research-related knowledge, understanding and practices of allied mental health clinicians based in a large public mental health service.
    METHODS: A mixed methods study recruited 59 occupational therapists and social workers working in a dedicated metropolitan public mental health service in Melbourne, Australia. Quantitative survey results are reported elsewhere. Semi-structured interviews were conducted with 16 survey responder volunteers. Thematic analysis was conducted on the qualitative survey and interview data.
    RESULTS: Four main themes were identified: research must connect with clinical practice; fragments of knowledge; research in practice; and research is not part of my professional identity. The third theme, research in practice, comprised four subthemes: no time for research in clinical roles, missing communication, lack of ownership, and what I need to do research.
    CONCLUSIONS: This study found that research and research-related activities were not considered part of the mental health social workers and occupational therapists\' professional identities. Dealing with this issue may be instrumental to the realization of these clinicians\' professional peak-body associations\' code of practice and to government mandated practice standards. We provided several strategies to encourage both clinicians and services to view research-related activities as an everyday part of clinical roles. This is especially important if we think of allied health evidence-based practice requiring a reasonable level of research-related skills and/or competencies to appraise, practice, evaluate and adapt their evidence-based practice.
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  • 文章类型: Journal Article
    在过去的十年中,关于痴呆症的文献激增,已经开始解决LGBTQ+人们在以后生活中的经历。认知功能的变化会危及安全,幸福,和LGBTQ+人的人权,如果社会护理劳动力没有做好准备或精通应对他们的独特需求。年龄的交集,认知功能,性和性别多样性以及亲密和性行为的表达需要敏感和尊重的考虑。然而,这是目前社会护理实践中研究不足和了解较少的领域。本文重点介绍了来自不同贡献文献机构的主要信息,并介绍了英国关于LGBTQ老龄化的国家框架及其支持劳动力发展的潜力,以考虑其在支持服务方面的灵活性,以在这些领域变得更加细微和肯定。实践。
    The proliferation of literature on dementia over the last decade has begun to address the experience of LGBTQ+ people\'s experiences in later life. Changes in cognitive function can jeopardize the safety, wellbeing, and human rights of LGBTQ+ people if the social care workforce are not prepared or versed in responding to their unique needs. The intersection of age, cognitive function, sexual and gender diversity with the expression of intimacy and sexuality requires sensitive and respectful consideration. Yet, this is currently an under-researched and less understood area in social care practice. This paper highlights the main messages from the different bodies of contributory literature and introduces the national framework in England UK on LGBTQ+ aging and its potential for supporting workforce development to consider its flexibility in supporting services to becoming more nuanced and affirmative in these areas of practice.
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  • 文章类型: Journal Article
    目的:药师主导的研究是优化药物使用和改善药学服务的关键,然而,它还没有广泛地嵌入到职业生涯中。本研究旨在确定在皇家药学会(RPS)注册后基金会和核心高级课程中满足研究学习成果的信心预测因子。为建立专业内的研究能力和能力提供有针对性的建议。
    方法:这项研究是一项横断面电子调查,2023年3月分发给合格的药剂师(n=253)。调查收集了人口统计信息,研究经验,以及自我报告的信心,以满足RPS注册后基金会和核心高级课程中的研究学习成果。使用两个二项逻辑回归模型(每个课程一个)分析了预定的自变量,以确定二分变量的预测因子:对满足该课程中所有研究学习成果的信心。
    结果:如果参与者最近(在过去12个月内)有研究或研究相关活动的经验,则他们更有可能自我报告为自信(与不自信)满足课程中的所有研究学习成果,持有研究生研究资格,在研究生资格之外接受过研究培训,在他们的评估中讨论了研究,或在医院部门工作。相反,男性,多年的实践,研究的保护时间并不能预测信心。
    结论:有针对性的方法,包括改善获得研究方法培训的机会,基于经验的学习,导师,并将研究项目与关键组织目标联系起来,可能是在所有部门和职业阶段发展研究能力和能力的关键。
    OBJECTIVE: Pharmacist-led research is key to optimizing medicines use and improving pharmacy services, yet it is not yet widely embedded into careers. This study aims to identify predictors of confidence in meeting the research learning outcomes in the Royal Pharmaceutical Society (RPS) Post-Registration Foundation and Core Advanced curricula, to provide targeted recommendations for building research capability and capacity within the profession.
    METHODS: The study was a cross-sectional electronic survey, distributed to eligible pharmacists in March 2023 (n = 253). The survey gathered demographic information, research experience, and self-reported confidence in meeting the research learning outcomes in the RPS Post-Registration Foundation and Core Advanced curricula. Pre-determined independent variables were analysed using two binomial logistic regression models (one per curriculum) to identify predictors of the dichotomous variable: confidence with meeting all research learning outcomes in that curriculum.
    RESULTS: Participants were more likely to self-report as confident (versus not confident) with meeting all research learning outcomes in a curriculum if they had recent experience (within the previous 12 months) of research or research-related activities, held a postgraduate research qualification, had undertaken research training outside of a postgraduate qualification, discussed research in their appraisal, or worked in the hospital sector. Conversely, male gender, years practicing, and protected time for research did not predict confidence.
    CONCLUSIONS: A targeted approach, including improving access to research methods training, experience-based learning, mentorship, and linking research projects to key organizational objectives, could be the key to developing research capability and capacity across all sectors and career stages.
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  • 文章类型: Journal Article
    能够实施基因组医学的卫生劳动力需要有效的基因组学教育。在过去的二十年中,为卫生专业开发了基因组学教育干预措施,以及它们的影响,在文献中有不同的描述。为基因组学教育提供评估框架,我们对已发布的需求评估进行了探索性范围审查,和/或评估,2000年至2023年卫生专业人员的基因组学教育干预措施。我们在两次搜索中检索并筛选了4,659条记录,其中363条被选择用于跨学科工作组的全文审查和审议。选择了104篇文章纳入审查-60需求评估,52个基因组学教育评估,和八个描述两者。收录的文章涵盖了所有年份,并描述了30多个国家的教育干预措施。目标受众包括医学专家,护士/助产士,和/或专职卫生专业人员。评价问题,结果,并提取了措施,分类,分类并制成表格,以反复比较基因组学教育评估各阶段的措施:计划(实施前),开发和交付(实施),和影响(立即,中间,或长期结果)。它们与研究设计的描述一起出现在这里。我们记录了用于定义措施的评估方法和术语的广泛差异,并注意到很少有文章考虑了基因组学教育干预的下游(长期)结果。除了基因组学教育的评估框架之外,本范围审查的结果构成了一个工具包的一部分,该工具包旨在帮助教育工作者进行严格的基因组学评估,该评估符合目的,并且可以为基因组学教育在基因组医学实施策略中的贡献提供越来越多的证据基础.
    A health workforce capable of implementing genomic medicine requires effective genomics education. Genomics education interventions developed for health professions over the last two decades, and their impact, are variably described in the literature. To inform an evaluation framework for genomics education, we undertook an exploratory scoping review of published needs assessments for, and/or evaluations of, genomics education interventions for health professionals from 2000 to 2023. We retrieved and screened 4,659 records across the two searches with 363 being selected for full-text review and consideration by an interdisciplinary working group. 104 articles were selected for inclusion in the review-60 needs assessments, 52 genomics education evaluations, and eight describing both. Included articles spanned all years and described education interventions in over 30 countries. Target audiences included medical specialists, nurses/midwives, and/or allied health professionals. Evaluation questions, outcomes, and measures were extracted, categorized, and tabulated to iteratively compare measures across stages of genomics education evaluation: planning (pre-implementation), development and delivery (implementation), and impact (immediate, intermediate, or long-term outcomes). They are presented here along with descriptions of study designs. We document the wide variability in evaluation approaches and terminology used to define measures and note that few articles considered downstream (long-term) outcomes of genomics education interventions. Alongside the evaluation framework for genomics education, results from this scoping review form part of a toolkit to help educators to undertake rigorous genomics evaluation that is fit for purpose and can contribute to the growing evidence base of the contribution of genomics education in implementation strategies for genomic medicine.
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