We examine new doctors\' and nurses\' experiences of transitioning from training to practising as health professionals, drawing on the concept of liminality. Liminality is a stage of \'in-betweenness\', involving uncertainty and ambiguity as people leave one social context and reintegrate into a new one. Surprisingly little research has explored new health professionals\' experiences of liminality during role and career transitions, particularly in precarious and resource-constrained settings. Drawing on 146 qualitative interviews and seven focus groups, involving 121 new graduate medical doctors and nurses transitioning through internship training in Kenya, we describe three aspects of liminality. First, liminal professional practice, where interns realise that best practices learned during medical and nursing schools are often impossible to implement in resource constrained health care settings; instead they learn workarounds and practical norms. Second, liminal relational identities, where interns leave behind being students and adopt the identities and responsibilities of qualified professionals within pre-existing professional hierarchies of status and expertise. We explain how these new doctors and graduate nurses negotiate their liminal status, including in relation to more experienced but less qualified professional colleagues. We also discuss how interns cope with liminality due to disappointing and inadequate supervision and role modelling from senior colleagues but then find peer support and their place within their own professions. Finally, we discuss how new doctors and nurses come to terms with the precarity of working in resource constrained health systems, abandon expectations of secure, permanent employment and careers, and accept the realities of liminal professional careers. We explain how all three forms of liminality influence professionals\' developing practices, identities, and careers. We call for further studies with a specific liminality lens to explore this critical period in health workers\' careers, to inform policy and practice responding to global transformations in healthcare professions and practice.

Studies on the job satisfaction of music therapists are needed for the growth of the profession and their findings may help to improve the well-being of practitioners. The aim of this cross-sectional survey was to explore the levels of satisfaction of music therapists with their profession and to identify the factors influencing their job satisfaction in several countries where this topic is under researched (Israel, Germany, Spain, Switzerland, Czech Republic, and Austria). Descriptive and inferential statistics of data obtained through an online survey of 439 practicing music therapists found the highest levels of job satisfaction were reported in Spain and the lowest levels were reported in Germany. We found significant correlations among job satisfaction, satisfaction with music therapy training, and satisfaction with the perceived status of the profession. Moreover, participants´ views on \"what would need to change to improve their satisfaction\" with their profession were divided into 3 categories (therapists-self, workplace, and country). Participants seemed to be highly satisfied with their profession, but less satisfied with interactions with other team members, and with the perceived status of the music therapy profession. There is an overarching need for all countries (including those where music therapy is legally established as a profession) to promote the profession inside and outside the practitioners´ work settings.

OBJECTIVE: The aim of this study is to test the validity and reliability of the shortened version of the Scale for the Environments Evaluation of Professional Nursing Practice (SEE-Nursing Practice).
METHODS: This methodological, cross-sectional study was conducted between September and December 2022. The original version of the SEE-Nursing Practice was administered in questionnaire format across 17 hospitals. Exploratory and confirmatory factor analyses were conducted to identify relevant items for the new shortened version of the scale and evaluate its construct validity.
RESULTS: The study involved 1713 registered nurses from various regions of Portugal. From the exploratory factor analysis, the SEE-Nursing Practice was condensed to 59 items and 3 subscales. In the structure subscale, 14 items were removed, and the remaining 29 items distributed over four factors; in the process subscale, 18 items were removed, and the remaining 19 items organized into three factors; in the outcome subscale, 2 items were removed, and the remaining 11 items distributed over two factors. The Cronbach\'s alpha for the three subscales exceeded 0.90, indicating high reliability. Confirmatory factor analyses provided support for the validity of the 59-item model.
CONCLUSIONS: The shortened version of the SEE-Nursing Practice shows adequate validity and reliability, reducing the burden associated with its longer version.

BACKGROUND: France allows deep sedation for pain relief, but not for euthanasia. In anticipation of an increase in home-based palliative care, the role of general practitioners is central to the design of outpatient palliative care services. This study aimed to describe the knowledge, attitudes, and practices of general practitioners in mainland France regarding palliative and end of life care.
METHODS: This was a national descriptive cross-sectional study within the Sentinelles network. Self-report questionnaires were distributed to general practitioners between November 2020 and November 2021. A descriptive analysis was carried out.
RESULTS: Out of the 123 participating general practitioners, 84% had received academic training in palliative care (n = 104). While a significant majority (69%) expressed comfort in pain management, only a quarter (25%) declared that they were competent at indicating deep and continuous sedation for pain relief. Awareness of outpatient palliative care facilities close to their place of practice such as hospitalization at home was over 97% (n = 117/120). Awareness of hospital facilities, including identified palliative care beds on hospital wards and palliative care units, was lower (75% (n = 59/79) and 86% (n = 86/100), respectively).
CONCLUSIONS: Our results suggest that French general practitioners are reasonably aware of palliative care resources available. However, there is room for improvement, particularly in understanding hospital-based facilities. Furthermore, a quarter of the general practitioners expressed discomfort with deep and continuous sedation for pain relief, highlighting the need for increased training in this specific aspect of palliative and end of life care.

UNASSIGNED: The Biomedical Scientist (BMS) role is established in healthcare, working in laboratory environments to provide diagnostic testing and to monitor treatment effects on a patients\' health. The profession is subject to several professional standards which highlight the importance of working in the best interests of the patient and service user. However, Biomedical Scientists have little or no patient contact. This study aimed to determine how Biomedical Scientists evidence that they meet the professional standards and support the achievement of patient outcomes.
UNASSIGNED: This study utilised a Delphi method to explore the opinions of professional stakeholders to determine whether there was consensus for how this professional group contributes to patient outcomes and offers evidence that they are working in the best interests of the patient. The qualitative 1st round of the study consisted of focus groups and interviews with staff and students on the BSc Biomedical Science awards, Professional, Statutory and Regulatory body (PSRB) representatives and Biomedical Scientists from the National Health Service (NHS). The first-round responses were analysed using thematic analysis which then generated attitude statements which participants scored using a 5-point Likert scale in the 2nd round. Consensus or divergence of opinion was determined based upon a 70% consensus level within each participant group and overall.
UNASSIGNED: Following analysis of the 2nd round data, there was divergence of opinion across all stakeholders, with consensus rates being highest in the Biomedical Scientist group (72.7% of statements reached 70% consensus), followed by the student group (54.5% of statements reached 70% consensus) and lowest in the academic group (40.9% of statements reached 70% consensus).
UNASSIGNED: This demonstrates a theory-practice gap in both the academic and student groups, suggesting that graduates are insufficiently prepared for their post-graduate role. This gap was particularly evident when discussing topics such as how Biomedical Scientists contribute to patient care, professional registration and working as part of the multi-disciplinary team (MDT). The identification of a theory-practice gap in the education of Biomedical Scientists is a novel finding, indicating that students may graduate with insufficient understanding of the Biomedical Scientist role.

UNASSIGNED: The need for a global core competency and capability framework for advanced practice physiotherapy is important due to the rapidly changing nature of health care delivery internationally and the need to standardize advanced practice physiotherapy.
UNASSIGNED: To determine the importance of a proposed international core competency and capability framework for advanced practice physiotherapy.
UNASSIGNED: We conducted a cross-sectional online survey of advanced practice physiotherapists across seven countries. The importance of each competency and capability was rated on a five-point agreement Likert scale. Participants were from the United Kingdom, Ireland, Australia, New Zealand, Canada, Switzerland and Argentina.
UNASSIGNED: A total of 99 participants completed the survey, comprising 63% (57/90) females and 33% (30/90) males. Sixty percent, 60% (54/90), had over 20 years of experience. The survey participants represented a diverse geographic distribution, with 25% (23/90) from Australia, 25% (23/90) from Canada, 18% (6/90) from New Zealand, and 18% (6/90) from the United Kingdom. Four percent 4% (4/90) from Ireland, and 4% (4/90) from other countries (Switzerland and Argentina). The survey revealed a strong consensus among participants, with all competencies and capabilities ranked as high and considered important to advanced practice.
UNASSIGNED: This study demonstrates a consensus among advanced practice physiotherapists across seven countries on the importance of a proposed competency and capability framework. The findings highlight the need for a global standard in advanced practice physiotherapy, particularly in light of the rapidly changing healthcare landscape.

The landscape of general practice has experienced notable transformations in recent decades, profoundly influencing the working conditions of general practitioners (GPs). This study aimed to examine the most salient changes affecting GPs\' daily practices. Through semi-structured qualitative interviews with 15 end-of-career GPs, the study explored how these changes affected work organization, equipment, working hours, work-life balance, job satisfaction, training, patient relationships, and reputation. The interviews revealed that these changes were perceived as barriers, opportunities, or a complex interplay of both for general practice. While the interviewed GPs valued technological advancements and reported positive developments in working conditions, challenges included a gradual reduction in the range of tasks, growing administrative burdens, and less practical training for young physicians. Other changes, such as new doctor-patient dynamics, the transition from single to group practice, and differing professional expectations of the younger generation, were seen as both challenging and strengthening for general practice. By combining these factors and trade-offs observed by end-of-career GPs in our study over the past few decades with general societal changes, we provide ideas for the design of future framework conditions in general practice that might enhance the attractiveness of the profession. These insights offer key considerations that can guide future strategies for general practice and medical education.

UNASSIGNED: Given the evolving digital revolution, technology and digital tools are becoming inseparable from work and daily occupations. Occupational therapy practitioners (OTPs) focus on supporting individuals in their desired and needed activities. Many of these daily activities (i.e., online banking, shopping, social media, smartphone use) require digital skills at a growing rate, and insufficient technological skills may subject individuals to limited engagement and social isolation.
UNASSIGNED: To understand OTPs attitudes regarding technology utilization.
UNASSIGNED: We surveyed 109 OTPs about their attitudes, work practices, and barriers to addressing their clients\' digital technological functioning.
UNASSIGNED: The findings of our study suggest that while OTPs acknowledge the importance and potential benefit of technology for their clients, there is a notable professional gap in the training and skills of OTPs to support their clients\' digital functioning effectively and to integrate technology into their practice.
UNASSIGNED: There is a need to improve and expand OTP\'s digital skills and knowledge regarding addressing clients\' digital functioning and technology implementation in occupational therapy practice.

Professional credentialing schemes based on experience and examination are used to clarify the scope and required competencies associated with the practice of a profession. National occupational hygiene (OH) credentials developed in 17 nations have been recognized by the International Occupational Hygiene Association (IOHA) to meet or exceed the requirements of a model certification program. To date, there is no credentialing or certification scheme for occupational hygienists in Spanish-speaking regions. To fill this void, a new credentialing body has been created named the Iberoamerican Board of Occupational Hygiene (JIHO). As a first step to the development of a certification exam for a profession, it is necessary to determine the interest in an occupational hygiene certification exam in Spanish and to clarify the most common work practices for those practicing the profession. To determine the proper exam weightings for occupational hygiene competencies needed to practice in Spanish-speaking regions JIHO conducted a comprehensive survey of professional practice of occupational hygiene in nations where Spanish is spoken as the primary language. Surveys were sent to 456 practicing occupational hygienists in nine different countries on a variety of topics. Results indicated that 79% of respondents felt the need for an OH certification exam in Spanish was very or extremely important. The most frequent and important technical competencies utilized in practice were (1) awareness about the health effects of hazardous agents to make decisions about workplace activities and exposures, (2) application of the hierarchy of controls, control banding, hazard communication, training of employees and other methods to reduce worker exposure and workplace risks, and (3) application of principles to recognize and control biohazards in the workplace. The study results have been used to guide the weighting and importance of various technical topics and rubrics on the JIHO exam. Data from this study can be used in the development of certification examinations, to improve international coherence in the profession, and the development of educational programs in OH.

UNASSIGNED: The concept of spiritual intelligence was developed in 1997 based on philosophical theories and neurological evidence and introduced as the ultimate intelligence. Spiritual intelligence has been considered as one of the skills required by professionals and has recently gained traction within nursing practice. Understanding the role of spiritual intelligence and its association with professional nursing practice is crucial to creating knowledge in this area of inquiry.
UNASSIGNED: To identify the best available evidence of the spiritual intelligence level and its correlation with professional practice among nurses.
UNASSIGNED: A systematic review and meta-analysis of observational studies were reported according to the PRISMA and MOOSE guidelines. The protocol for this systematic review was registered with PROSPERO with the identification CRD42021254881.
UNASSIGNED: Ten electronic English and Persian databases [Cochrane Library, Web of Science, Scopus, PubMed, CINAHL, Science Direct, Wiley Online Library, Magiran, SID, IranDoc] were searched to identify eligible studies, published in the English and Persian languages from January 2000 to May 2020.
UNASSIGNED: A systematized search strategy was used to include eligible published and unpublished observational studies that examined the spiritual intelligence level and its correlation with professional practice among nurses. Screening, quality assessments, data extractions, and analysis were undertaken using Joanna Briggs Institute methodology and carried out by two independent reviewers.
UNASSIGNED: Thirty-five studies, with a total of 7301 nurses, were included. The mean score for spiritual intelligence in 29 studies and 5853 nurses was 0.63 (95% CI: 0.57-0.69, I2 = 99.97%). The Spiritual Intelligence Self-Report Inventory was the most frequently used instrument to measure spiritual intelligence. Most of the professional nursing outcomes represented a positive association with nurses\' spiritual intelligence. The pooled positive correlation coefficients between spiritual intelligence and a professional nursing practice components including the art of nursing, competence, attributes of practice and, personal commitment were 0.34 (95% CI: 0.24, 0.43, I2 = 63.4%, 5 studies), 0.42 (95% CI: 0.25,0.56, I 2 = 62.2%, 2 studies), 0.32 (95% CI: 0.11, 0.50, I 2 = 92.2%, 5 studies) and 0.41 (95% CI: 0.34, 0.49, I 2 = 74.3%, 8 studies) respectively.
UNASSIGNED: The findings of this systematic review indicated a relatively high level of spiritual intelligence among nurses that was moderately associated with professional nursing practice. implementing strategies to promote spiritual intelligence levels among nurses is warranted.