1,720,959 research outputs found
Lama Sultan - PhD Project data for study 3
No full textTitle
Exploring Perceptions and Practices of Interprofessional Shared Decision-Making Education in Palliative Care Settings
Summary
Introduction Palliative care teams provide support to patients and their caregivers during terminal illness, which requires inter- professional collaboration. One of the foundational skills is to assist patients with decision-making. This can be facilitated through interprofessional shared decision-making (IP-SDM). So far, IP-SDM education frameworks have only been used to a limited extent in the area of palliative care.
AimThis study aims to explore perceptions and practices of faculty members, health professionals, and students toward IP-SDM education in palliative care and to indicate associated factors to implement an IP-SDM in undergraduate health professions education in palliative care settings.
Methods We used a cross-sectional study design in which the data was obtained via an online self-administered questionnaire adapted from existing validated tools. The questionnaire was distributed to faculty members and health professionals (n = 125) and students (n = 334) at King Abdulaziz Medical City in Jeddah, Saudi Arabia. The sampling technique was a non-probability convenience sampling. Bivariate statistics, such as independent sample t-tests, one-way ANOVA, correlation coefficient, and linear multiple regression were conducted.
Results The response rate was 54% (85 faculty members and health professionals and 164 students). Perceptions on IP-SDM did not differ between participants. From those who had previous experience with IP-SDM, the mean practices score was slightly higher for faculty members and health professionals (M = 83.1, SD = 15.9) than for students (M = 74.1, SD = 11.5), which was significant (p
Conclusions The findings show high levels of perceptionss with low levels of practices of IP-SDM in palliative care. Other factors that could be associated with the topic should be addressed in further studies.<BR
Lama Sultan - PhD Project data for study 4
No full textTitle
Interprofessional Shared Decision-Making in Palliative Care for Undergraduate Students: Exploring Changes in Perceptions and Performance after Training.
Summary
Introduction
Interprofessional collaboration and shared decision making (SDM) are essential components of effective healthcare delivery, particularly in the context of palliative care. The ability of healthcare professionals to work together as a team and engage in SDM significantly impacts patient outcomes and quality of care. Therefore, it is crucial to explore educational interventions that enhance students' perception of their practices and improve their performance in interprofessional shared decision making (IP-SDM).
Methods
A pre-post study design was conducted among a cohort of twenty-eight undergraduate medical, nursing, and allied medical sciences students who participated in a three-day workshop at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) in Jeddah. At individual level, participants’ perceptions of their professional practices were evaluated using the Assessment of Interprofessional Team Collaboration Scale (AITCS) and post workshop evaluation. While at team level, team performance was assessed by evaluators through a Team Objective Structured Clinical Examination (TOSCE). Paired sample t-tests were used to compare pre-and post-workshop scores.
ResultsThe findings revealed a significant increase in total mean score at individual level of students’ perception about their practice at the post-workshop assessment (p=0.001). The workshop rating was almost ‘excellent’ according to the participants’ evaluation. In regard to team performance, the post TOSCE total mean score was also significantly higher than the pre-TOSCE score (p=0.008). These results demonstrate positive changes in students’ perceptions about their practice and their performance shortly after training in IP-SDM in a palliative care setting. Further studies are needed to assess long-term retention of the students’ perceptions and skills acquired related to SDM in the context of interprofessional collaboration in palliative care.<BR
Lama Sultan _ PhD Project data for study 1
No full textTitle
Current Trends in Interprofessional Shared Decision-Making Programmes in Health Professions Education: A Scoping Review
Summary
IntroductionShared decision-making (SDM) is considered a patient-centred approach that requires interprofessional collaboration among healthcare professionals. Teaching interprofessional shared decision-making (IP-SDM) to students preparing for clinical practice facilitates the accomplishment of collaboration.
AimThis review seeks to provide an overview of current IP- SDM educational interventions with respect to their theoretical frameworks, delivery, and outcomes in healthcare.
Methods A scoping review was undertaken using PRISMA. Electronic databases, including OVID-MEDLINE, PubMed, OVID- EMBASE, ERIC, EBSCO-CINAHL, Cochrane Trails, APA PsycINFO, NTLTD, and MedNar, were searched for articles published between 2000 and 2020 on IP-SDM education and evaluation. Grey literature was searched for additional articles. Quality assessment and data extraction were independently completed by two reviewers, piloted on a random sample of specific articles, and revised iteratively.
ResultsA total of 63 articles met the inclusion criteria. The topics included various SDM models (26 articles) and educational frameworks and learning theories (20 articles). However, more than half of the studies did not report a theoretical framework. Students involved in the studies were postgraduates (22 articles) or undergraduates (18 articles), and 11 articles included both. The teaching incorporated active educational methods, including evaluation frameworks (18 articles) and Kirkpatrick’s model (6 articles). The mean educational intervention duration was approximately 4 months. Most articles did not include summative or formative assessments. The outcomes assessed most often included collaboration and communication, clinical practice and outcome, patients’ preferences, and decision-making skills.<BR
Lama Sultan - PhD Project data for study 2
No full textTitle
Stakeholders’ Perspectives of Implementing Interprofessional Shared Decision-Making Education in Palliative Care
Summary
IntroductionShared decision-making (SDM) in palliative care is a highly complex process that requires an interdisciplinary team. Interprofessional team members need education on how to facilitate discussion of patient/family wishes at the end of life in hospital settings. So far, interprofessional shared decision-making (IP-SDM) education frameworks have been used to a limited extent in the area of education on palliative care.
AimThe aim of this study was to explore policymakers’, health professionals’, faculty members’, and students’ perspectives on implementing an IP-SDM educational framework in palliative care to identify aspects that should be prioritized to further develop interprofessional education for SDM in palliative care.
Methods We used the qualitative method to capture the micro, meso, and macro factors using Oandasan and Reeves’ model for the implementation of IP-SDM education regarding palliative care. Data collection tools included in-depth, face-to-face interviews with individual policymakers and focus group interviews with health professionals, faculty members, and undergraduate health professionals. The interview guide explores the teaching of SDM in palliative care, factors that could facilitate or hinder the implementation of IP-SDM education for health professions students in palliative care, and interventions to facilitate the implementation of this approach. This study was conducted at the Oncology and Palliative Care Department at King Abdulaziz Medical City in the Ministry of National Guard Health Affairs and at King Saud bin Abdulaziz University for Health Sciences in Jeddah, Saudi Arabia.
ResultsThe results indicated a high demand for IP-SDM in palliative care. The findings revealed factors that can facilitate or hinder the implementation of IP-SDM education in palliative care for undergraduate health professions students that is going to the local community. Factors include culture, religion, gender, power issues, team hierarchy, and respect among team members. Also, our findings have revealed potential solutions to the hindering factors.
Conclusions IP-SDM education in palliative care is a highly relevant topic for improving patient outcomes. However, it might be a complex process to implement, especially given the challenges of palliative care settings. We recommend starting such a course in the early clinical phases of undergraduate health professional education. <BR
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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