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Implementation Evaluation of Blood Flow Restriction in the Rehabilitative Setting
No full textPurpose: Blood flow restriction refers to a training/rehabilitation method consisting of an external pressure system applied to a limb to partially inhibit blood flow to the tissues. Though much research has been conducted concerning the use of blood flow restriction, there is limited research concerning why clinicians may or may not utilize it. Objective: The current qualitative study utilized the Consolidated Framework for Implementation Research to investigate why clinicians may or may not implement blood flow restriction in the clinical setting. Methods: A semi-structured interview addressing twelve implementation constructs within four domains (Intervention Characteristics, Outer Setting, Inner Setting, and Characteristics of Individuals) was conducted via teleconference. A total of 10 participants, including five athletic trainers, one occupational therapist, and four physical therapists, were interviewed. Transcripts from the interviews were evaluated and each construct was rated to determine whether they inhibited, facilitated, or were neutral to implementation. Results: The constructs inhibitive to implementation were adaptability, cost, and available resources, while the constructs facilitative of implementation were evidence strength and quality, access to knowledge and information, and knowledge and beliefs about the intervention. Constructs considered neutral to implementation were intervention source, relative advantage, complexity, patient needs and resources, culture, and self-efficacy. An additional two constructs (external policies and incentives, and networks and communications) were noted, but not rated due to lack of direct investigation. Conclusion: While several factors contribute to the implementation of blood flow restriction, clinicians appear to be most concerned with evidence strength and quality regarding the effectiveness of blood flow restriction across different populations, as well as the financial costs associated with blood flow restriction. While some clinicians appear to be very receptive to blood flow restriction, they may be unable to implement it due to financial restrictions
Patient- and Proxy-Reported Outcome Measures for use in Pulmonary Hypertension: Study Protocol for a COSMIN-Based Systematic Review
No full textPurpose: Pulmonary hypertension (PH) is a severe and progressive disease that significantly affects patients\u27 physical, emotional, and social well-being. Despite advances in medical therapies, managing PH remains challenging, and the need for practical, patient-centred tools to evaluate therapeutic outcomes is critical. Patient-reported outcome measures (PROM) and proxy-reported outcome measures (proxy ROM) are pivotal in assessing the therapeutic impacts of interventions, including symptom relief, treatment efficacy, and quality of life. However, there has yet to be a comprehensive review of the psychometric properties of these tools in PH, hindering their optimal use in both clinical practice and research. This protocol outlines a systematic review to evaluate the psychometric properties of PROM and proxy ROM used in the therapeutic management of PH. The review will assess these tools\u27 validity, reliability, and responsiveness according to the COSMIN (COnsensus-based Standards for selecting health Measurement Instruments) guideline. The goal is to provide evidence-based recommendations for selecting the most effective outcome measures to support therapeutic decision-making and improve patient care in PH. Methods: A systematic review will be conducted using the PICO framework to guide the selection of studies. A comprehensive search strategy will be executed across seven databases: PubMed, CINAHL Plus, The Cochrane Library, PEDro, Scopus, ScienceDirect, and Google Scholar, with only manuscripts published in English. Studies eligible for inclusion will focus on PROM or proxy ROM used in PH populations and provide psychometric evaluation data. Studies that do not address PH or lack psychometric assessment will be excluded. Data extraction and quality appraisal will be performed by two independent reviewers using the COSMIN checklist, focusing on the methodological quality of the instruments. Results: The results are currently pending. Conclusions: This review will enhance the therapeutic management of PH by evaluating the psychometric properties of PROM and proxy ROM, ultimately guiding their use in clinical settings. By identifying reliable and valid measures, this review aims to improve the effectiveness of patient-centred management and optimise therapeutic outcomes for individuals living with PH
Evaluating the Self-Efficacy of Novice Educators in Nursing and Allied Health Care Programs as it Pertains to Faculty Development
No full textPurpose: Career choices in nursing and allied health include but are not limited to nursing, radiologic technology, dental hygiene, respiratory therapy, and occupational therapy.1The majority of health care professions require the practitioner to hold certain required credentials. These credentials are obtained upon successful graduation from an accredited curriculum, passing some sort of board exam, and applying for and obtaining a state license to practice in their designated area of expertise.2 Advancement opportunities in management, sales, and education are attainable for many healthcare professionals.3 Individuals who transition from the role of a health care provider to educator bring to the classroom limited or no formalized instruction specific to education.4,5 As a result, health care providers who become educators feel thrown into their new roles with little to no guidance.4 Feelings of inadequacy in teaching abilities not only affect the novice educator but also the students in their classrooms.6 Methods: While requirements of health care professionals are strict and based on accrediting or a licensing body, nursing and allied health care educators are not as regulated and vary from those of other disciplines.7 Typically, a nursing or allied health care educator has obtained an advanced degree, yet those degrees are not always required and there are no requirements as to the area the degree has to be in.4 Often these advanced degrees are professional degrees at the doctoral level such as Occupational Therapist, Physical Therapist, Nurse Practitioner whose focus is not on pedagogy/andrology but clinical practice.8-10 Many professionals enter the world of academia without any formalized educational training.4 As instructional openings occur, health care professionals find themselves transitioning from the role of a provider to an educator with little to no formal training.5 Results: Upon entering into this new role, experienced health care professionals became novice educators 4,5,10. Novice educators likely have to navigate how to become instructors on their own.5 These individuals are often subject matter experts who can impart knowledge to students.4 While this may seem like an ‘easy’ task, considerable time and preparation is involved in the process.11 There are many other responsibilities of faculty members beyond lecturing and facilitating a class.12 Those duties often include academic advisement, committee work, as well as collaboration with colleagues in research.12 Understanding objectives and curriculum are additional struggles novice educators face.10 Conclusion: To aid the transition from professional to educator, some organizations provide professional development to support these educators with additional instruction in areas such as curriculum, objectives, and learning theories associated with academia.13 Stuit et al stated entering the world of academia can be a rewarding experience, yet many are not aware of all duties required and unanticipated challenges associated with the demands of teaching, scholarship, and service.1
Dysphagia and COVID-19 in Adults: A Prospective Clinical Trial with Fiberoptic Endoscopic Evaluation of Swallowing
No full textPurpose: Coronavirus disease 2019 (COVID-19) is distinguished by its impact on various tissues and organs across the body. It is known that COVID-19-related conditions are associated with swallowing function. This prospective study aimed to investigate the correlation between COVID-19 and dysphagia in adults. Methods: Adults who applied to the swallowing disorders outpatient clinic participated in this study. According to polymerase chain reaction (PCR) testing, participants were divided into two groups: COVID-19 and non-COVID-19 group. Swallowing disorders were evaluated using fiberoptic endoscopic evaluation of swallowing and scored with the Penetration-Aspiration Scale (PAS). PAS score \u3e 1 was considered as dysphagia. Oral motor dysfunction (OMD) evaluation was performed by swallowing therapist. Total score ranged from 26 to 104, with higher scores indicating greater degree of impairment. Swallowing-related quality of life was examined by Eating Assessment Tool-10 (EAT-10). EAT-10 score of ≥ 3 was considered the presence of dysphagia. Results: Seventy-five adults (age = 51.32 years, COVID-19/non-COVID-19; n = 30/45, PAS = 3.06, OMD = 33.24, EAT-10 = 14.59) were included. Dysphagia was confirmed in adults with COVID-19 according to PAS (n = 24, 80%) and EAT-10 (n = 30, 100%). According to the COVID-19 versus non-COVID-19, no significant difference was observed in the PAS (p = 0.101), OMD (p = 0.737), and EAT-10 (p = 0.801). Conclusions: According to the results of our study, although dysphagia was stated in those with COVID-19, no significant difference was observed compared to non-COVID-19, and no relationship was found as a risk factor. Our results continue the debate in literature and reveal the need for further research
Simulation Based Learning and Development of Clinical Decision-Making Skills, as perceived by DPT students, a Qualitative Analysis
No full textPurpose: Simulation-based learning (SBL) has been shown to help Doctor of Physical Therapy (DPT) students transfer academic skills to a range of clinical settings. However, the perceived beneficial and not beneficial elements of SBL have not been fully explored. While most research has focused on acute care settings, previously published findings demonstrated that an SBL course with outpatient-based scenarios can have a significant impact on the development of clinical decision-making (CDM) skills in DPT students; however, details on perceived successful elements were not explored. The purpose of this study was to explore what factors DPT students perceive as helpful and not helpful for the development of their CDM skills before and after an outpatient case based SBL course, as well as after their first clinical experience. Methods: A single-group repeated measures design was used with a survey administered to DPT students during pre-simulation, post-simulation, and after first clinical experience. The surveys included a self-efficacy of clinical and CDM skills tool as well as additional open-ended questions. To establish consensus on themes, qualitative analysis was undertaken using triangulated data. Results: 98 voluntary participants completed surveys. Pre-simulation, the three most beneficial themes for building CDM skills were simulation (31.1%), hands-on experience in the lab (19.7%), and practice with instructors in small groups (15.5%). Post-simulation, the three most beneficial themes for building CDM skills were simulation (41.8%), debriefing (25.4%), and gaining feedback (11.9%). After the first clinical experience, the three most beneficial themes for building CDM skills were practice in the clinic with real patients (44.1%), simulation (22.0%), and practicals (13.6%). Conclusions and recommendations: Results of our study identified factors of simulated learning perceived to be helpful for development of CDM skills and further support the integration of SBL into DPT education. Further investigation is required to determine the most helpful factors of SBL, particularly those linked to getting feedback and debriefing, that contribute to the development of CDM skills in DPT students
Customized Solutions for Diverse Industries of Bahrain
No full textCustomized Solutions for Diverse Industries of Bahrain
Bahrain’s dynamic economy offers a wealth of opportunities across various sectors, from finance and technology to healthcare and tourism. For businesses to thrive in this competitive landscape, it is essential to have customized solutions of how to start a business in bahrain tailored to the specific needs of each industry. This approach ensures that businesses can navigate unique challenges, leverage opportunities, and achieve sustainable growth. Here, we explore the diverse industries of Bahrain and the importance of providing customized solutions for each.
Finance and Banking
Bahrain is a leading financial hub in the Middle East, with a well-established banking sector. Customized solutions for this industry focus on regulatory compliance, risk management, and digital transformation. Financial institutions require robust IT infrastructure, cybersquatting measures, and innovative financial technologies to stay competitive. Tailored advisory services help these institutions navigate regulatory changes, enhance operational efficiency, and adopt cutting-edge technologies.
Technology and Innovation
The technology sector in Bahrain is rapidly growing, driven by initiatives such as the Bahrain Fin Tech Bay and the National ICT Strategy. Customized solutions for tech companies include support in research and development, intellectual property protection, and market entry strategiesof company registration in bahrain. These solutions enable tech startups and established firms to innovate, protect their creations, and expand their market presence both locally and internationally.
Healthcare and Life Sciences
Bahrain’s healthcare sector is undergoing significant transformation, with investments in modern facilities and advanced medical technologies. Customized solutions for this industry involve regulatory compliance, quality assurance, and patient care optimization. Healthcare providers benefit from tailored consulting services that help them meet international standards, improve patient outcomes, and implement efficient healthcare management systems.
Tourism and Hospitality
Bahrain’s rich cultural heritage and strategic location make it a prime destination for tourism. The tourism and hospitality in wll company in bahrain industry requires customized solutions for marketing, guest experience enhancement, and operational management. Tailored marketing strategies help attract visitors, while customized training programs ensure high-quality service standards. Additionally, operational solutions improve efficiency and profitability for hotels, resorts, and other hospitality businesses.
Manufacturing and Industry
The manufacturing sector in Bahrain is diverse, encompassing areas such as aluminum production, food processing, and petrochemicals. Customized solutions for manufacturers focus on process optimization, supply chain management, and sustainability. These solutions help manufacturers enhance productivity, reduce costs, and implement environmentally friendly practices. Tailored advisory services also support manufacturers in complying with industry standards and regulations.
Retail and Consumer Goods
The retail sector in Bahrain is vibrant and competitive, with a growing number of international and local brands. Customized solutions for retailers business in bahrain include market analysis, customer engagement strategies, and inventory management. Retail businesses benefit from insights into consumer behavior, tailored marketing campaigns, and efficient supply chain solutions. These customized approaches help retailers meet consumer demands and drive sales growth
Sarah Lewis’ Terrific Toolkit: A Positive Psychology Perspective on the Practicality of Appreciative Inquiry Application
No full textSarah Lewis (2025) has made a strong contribution to the “How To” resources for conducting Appreciative Inquiry with her new book, Practical Appreciative Inquiry: A Toolkit for Applying Appreciative Inquiry to Organisational Challenges, Opportunities, and Aspirations. She has crafted the tome from a positive psychology perspective and her extensive experiences as an organizational consultant and facilitator, author, and postgraduate level lecturer in the United Kingdom. Her presentation is divided into two interrelated major sections - Background and Practice Theory and Applications, in which the backgrounding is full of practicalities and the applications are grounded in sound Appreciative Inquiry thinking. Through her extensive use of case studies, learning points, discussion questions, teaching practice, resources and further reading, she delivers on her practicality promise creating a helpful guide for practitioners of Appreciative Inquiry and for those teaching and learning this positive change methodology
Facilitation of Focus Groups Towards Conflict Resolution among Pastoralists and Farmers in Northern Uganda: An Indigenous Relational Approach
No full textIn this article we discuss how we explored with participants in a district of Northern Uganda certain land-related conflicts between pastoralists (herdsmen) and farmers. Following the end of the conflict in the civil war in Northern Uganda (1986-2006/7), many pastoralists moved from Central and Western Uganda to Northern Uganda in search for pastures for their animals. This has resulted in tension with the host community of farmers. In recognition of these long-standing conflicts and wishing to contribute to their addressal, in 2021 we set up four focus groups drawing on Indigenous relational practices of conflict resolution. We invoked storytelling and compassionate listening, an Indigenous reconciliatory process for collectively generating and implementing ideas to derive better resolution that reinforces communal cohesion. We illustrate the impact of the focus groups in establishing dialogue and reconciliation with the use of supportive quotes from participants and we also point to some feedback received from the participants regarding their experience of the research process. We finally refer to the role of the State in issuing directives that can sustain the agreements made
Supporting Parent Confidence Through Accessible Education in Pediatric Occupational Therapy
No full textThis capstone project explored strategies to enhance parent confidence and engagement in pediatric occupational therapy. Guided by a needs assessment drawn from literature, clinical observation, and parent input, the project identified a lack of accessible, affirming educational materials for families. In response, strengths-based, plain-language resources were developed and distributed in both print and digital formats. These materials supported parent understanding of therapeutic goals and encouraged home-based carryover of clinical strategies. Additionally, participation in small-group summer programming and one-on-one parent conversations provided insight into family needs and informed the resource design process. Outcomes suggest that empowering parents through targeted education can improve collaboration, reduce confusion, and promote therapeutic consistency beyond the clinic. This work highlights the occupational therapist’s role in supporting families not only as service providers, but as partners in the therapeutic process