The Experts below are selected from a list of 210 Experts worldwide ranked by ideXlab platform
Brett Williams - One of the best experts on this subject based on the ideXlab platform.
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The development of competency frameworks in Healthcare Professions: a scoping review
Advances in Health Sciences Education, 2019Co-Authors: Alan M. Batt, Walter Tavares, Brett WilliamsAbstract:Competency frameworks serve various roles including outlining characteristics of a competent workforce, facilitating mobility, and analysing or assessing expertise. Given these roles and their relevance in the health Professions, we sought to understand the methods and strategies used in the development of existing competency frameworks. We applied the Arksey and O’Malley framework to undertake this scoping review. We searched six electronic databases (MEDLINE, CINAHL, PsycINFO, EMBASE, Scopus, and ERIC) and three grey literature sources (greylit.org, Trove and Google Scholar) using keywords related to competency frameworks. We screened studies for inclusion by title and abstract, and we included studies of any type that described the development of a competency framework in a Healthcare Profession. Two reviewers independently extracted data including study characteristics. Data synthesis was both quantitative and qualitative. Among 5710 citations, we selected 190 for analysis. The majority of studies were conducted in medicine and nursing Professions. Literature reviews and group techniques were conducted in 116 studies each (61%), and 85 (45%) outlined some form of stakeholder deliberation. We observed a significant degree of diversity in methodological strategies, inconsistent adherence to existing guidance on the selection of methods, who was involved, and based on the variation we observed in timeframes, combination, function, application and reporting of methods and strategies, there is no apparent gold standard or standardised approach to competency framework development. We observed significant variation within the conduct and reporting of the competency framework development process. While some variation can be expected given the differences across and within Professions, our results suggest there is some difficulty in determining whether methods were fit-for-purpose, and therefore in making determinations regarding the appropriateness of the development process. This uncertainty may unwillingly create and legitimise uncertain or artificial outcomes. There is a need for improved guidance in the process for developing and reporting competency frameworks.
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The development of competency frameworks in Healthcare Professions: a scoping review.
medRxiv, 2019Co-Authors: Alan M. Batt, Walter Tavares, Brett WilliamsAbstract:Background Competency frameworks serve various roles including outlining characteristics of a competent workforce, facilitating mobility, and analysing or assessing expertise. Given these roles and their relevance in the health Professions, we sought to understand the methods and strategies used in the development of existing competency frameworks. Methods We applied the Arksey and O9Malley framework to undertake this scoping review. We searched six electronic databases (MEDLINE, CINAHL, PsycINFO, EMBASE, Scopus, and ERIC) and three grey literature sources (greylit.org, Trove and Google Scholar) using keywords related to competency frameworks. We screened studies for inclusion by title and abstract, and we included studies of any type that described the development of a competency framework in a Healthcare Profession. Two reviewers independently extracted data including study characteristics. Data synthesis was both quantitative and qualitative. Results Among 5,710 citations, we selected 190 for analysis. The majority of studies were conducted in medicine and nursing Professions. Literature reviews and group techniques were conducted in 116 studies each (61%), and 85 (45%) outlined some form of stakeholder deliberation. We observed a significant degree of diversity in methodological strategies, inconsistent adherence to existing guidance on the selection of methods, who was involved, and based on the variation we observed in timeframes, combination, function, application and reporting of methods and strategies, there is no apparent gold standard or standardised approach to competency framework development. Conclusions We observed significant variation within the conduct and reporting of the competency framework development process. While some variation can be expected given the differences across and within Professions, our results suggest there is some difficulty in determining whether methods were fit-for-purpose, and therefore in making determinations regarding the appropriateness of the development process. This uncertainty may unwillingly create and legitimise uncertain or artificial outcomes. There is a need for improved guidance in the process for developing and reporting competency frameworks.
P G Cole - One of the best experts on this subject based on the ideXlab platform.
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tackling threshold concepts when teaching information literacy in a post complex world drawing inspiration from and parallels with the Healthcare Profession
2019Co-Authors: P G ColeAbstract:This 60 minute workshop explores the use of concepts from the Healthcare Profession, namely SUM – a Shared Understanding of Medicine - to help students negotiate the threshold concepts within Information Literacy. "The shared understanding of medicine is a process whereby people are enabled to understand the best knowledge and resources available to meet their health needs." (Lehman, 2018) The principles of SUM are very similar to Information Literacy; empowering individuals to gather and evaluate information to inform their own decisions and understanding. In a society where most things are available via a quick transaction, be it a tap on a screen or via voice command, any situation where it is not that straightforward are seen as inconvenient or even “wrong”.
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Tackling threshold concepts when teaching information literacy in a ‘post-complex’ world: drawing inspiration from, and parallels with, the Healthcare Profession
2019Co-Authors: P G ColeAbstract:This 60 minute workshop explores the use of concepts from the Healthcare Profession, namely SUM – a Shared Understanding of Medicine - to help students negotiate the threshold concepts within Information Literacy. "The shared understanding of medicine is a process whereby people are enabled to understand the best knowledge and resources available to meet their health needs." (Lehman, 2018) The principles of SUM are very similar to Information Literacy; empowering individuals to gather and evaluate information to inform their own decisions and understanding. In a society where most things are available via a quick transaction, be it a tap on a screen or via voice command, any situation where it is not that straightforward are seen as inconvenient or even “wrong”.
Rashid Zaman - One of the best experts on this subject based on the ideXlab platform.
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should ramadan be prescribed after christmas obesity in the Healthcare Profession and the health benefits of fasting
Case Reports, 2014Co-Authors: Ahmed Hankir, Mohammed K Hankir, Rashid ZamanAbstract:Obesity is an important risk factor for cardiovascular morbidity and mortality. In the UK, one in four people are considered overweight or obese and that number is expected to rise to one in three by 2020. Employees of the National Health Service (NHS) are no exception with up to half of Healthcare workers considered overweight or obese. Religious periods such as Christmas and Ramadan are associated with weight changes. Weight gain has been reported during the Christmas period albeit not as much as was traditionally believed according to the results of recent research. Conversely, weight loss has been reported in Muslims who fast during the Islamic month of Ramadan; however, this amount tends to be modest and weight gradually returns to pre-Ramadan status according to a meta-analysis of the literature. We report a case of an NHS Healthcare worker – which is the first of its kind that illustrates the role that fasting and other factors have played a role in causing dramatic oscillations in his weight.
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epa 1596 should ramadan be prescribed after christmas bipolar disorder obesity in the Healthcare Profession and the health benefits of fasting
European Psychiatry, 2014Co-Authors: Ahmed Hankir, Rashid ZamanAbstract:Introduction In the UK, 1/4 people are considered overweight or obese. National Health Service (NHS) employees are no exception with ½ workers affected. There are myriad factors that contribute to these statistics such as mental health, occupation and lifestyle. Studies reveal that 35% of people with bipolar disorder are clinically obese, which is the highest percentage of any psychiatric illness. The suggested factors that may be contributing to this problem include co-existing eating disorders and treatment with medications that cause weight gain. Religious periods i.e. Christmas and Ramadan are associated with weight changes. 50% of annual weight gain has been reported during the Christmas period. Conversely weight loss has been reported in Muslims who fast during the Islamic month of Ramadan. Objective To qualitatively illustrate how religious, psychosocial, physical and occupational factors can cause significant weight changes. Method We provide an autobiographical narrative from a doctor- the primary author- employed by the National Health Service who suffers from bipolar disorder and who has experienced dramatic oscillations in his weight. Results Ramadan provided the primary author with a platform to make major modifications to his lifestyle. He substantially reduced his carbohydrate consumption and also exercised 7 days/week. Dr Hankir lost 30 kg in weight over a 3 month period. His waist size decreased from 36 inches to 32 inches. Conclusions Fasting during Ramadan can provide an opportunity to lose weight as is evidenced in this case report, however structured and consistent lifestyle modifications are necessary to maintain sustained weight loss.
Peter Cantillon - One of the best experts on this subject based on the ideXlab platform.
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Why shouldn’t we do that on placement if we’re doing it in the real world? Differences between undergraduate and graduate identities in speech and language therapy
Advances in Health Sciences Education, 2020Co-Authors: Noreen O’leary, Peter CantillonAbstract:Healthcare graduates are often characterised as ill-prepared for workplace entry. Historically, research on health Professional’s work preparedness has focused on the quality of graduates’ clinical knowledge, skills and problem-solving. This ignores the role of Professional identity formation in determining readiness for clinical practice. Yet, Professional identity defines graduate self-perception, how others perceive them and informs clinical behaviour. The scholarship of identity formation at the transition from undergraduate to graduate is characterised by individual (cognitive) rather than relational (sociocultural) perspectives. Yet there is growing recognition that identity formation is not just individually mediated, but is also constructed between individuals and social context. The aim of this study was to explore Professional identity formation among undergraduates and graduates from one Healthcare Profession (speech and language therapy-SLT) using a sociocultural theoretical standpoint. A qualitative descriptive methodology was used. Final (4th) year SLT undergraduate students and graduate SLTs with less than 2 years’ clinical experience participated in individual semi-structured interviews. Thematic analysis was used to describe patterns in the data, which were subsequently subjected to interpretation informed by the constructs of Figured Worlds. Data analysis revealed that undergraduate Professional identity was characterised by dependency, self-centredness (as opposed to patient-centredness), and a naïve role concept. Graduate identity on the other hand included expectations of self-sufficiency, patient-centredness and a more nuanced perception of the Professional role. Undergraduates have naïve, prototypical understandings of what it is to be a graduate practitioner. The nature of undergraduate clinical placement hinders meaningful identity development. This suggests that curriculums should facilitate undergraduates to act with meaningful autonomy and to be positioned in more patient-centred roles, e.g. involvement in the decision-making process for patients. Graduates may then feel more authentic as autonomous Professionals in their early graduate posts. This leads to better graduate, patient and service outcomes.
Katherine A. Pohlman - One of the best experts on this subject based on the ideXlab platform.
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Manual therapy for the pediatric population: a systematic review
BMC Complementary and Alternative Medicine, 2019Co-Authors: Carol Parnell Prevost, Brian Gleberzon, Beth Carleo, Kristian Anderson, Morgan Cark, Katherine A. PohlmanAbstract:Background This systematic review evaluates the use of manual therapy for clinical conditions in the pediatric population, assesses the methodological quality of the studies found, and synthesizes findings based on health condition. We also assessed the reporting of adverse events within the included studies and compared our conclusions to those of the UK Update report. Methods Six databases were searched using the following inclusion criteria: children under the age of 18 years old; treatment using manual therapy; any type of Healthcare Profession; published between 2001 and March 31, 2018; and English. Case reports were excluded from our study. Reference tracking was performed on six published relevant systematic reviews to find any missed article. Each study that met the inclusion criteria was screened by two authors to: (i) determine its suitability for inclusion, (ii) extract data, and (iii) assess quality of study. Results Of the 3563 articles identified, 165 full articles were screened, and 50 studies met the inclusion criteria. Twenty-six articles were included in prior reviews with 24 new studies identified. Eighteen studies were judged to be of high quality. Conditions evaluated were: attention deficit hyperactivity disorder (ADHD), autism, asthma, cerebral palsy, clubfoot, constipation, cranial asymmetry, cuboid syndrome, headache, infantile colic, low back pain, obstructive apnea, otitis media, pediatric dysfunctional voiding, pediatric nocturnal enuresis, postural asymmetry, preterm infants, pulled elbow, suboptimal infant breastfeeding, scoliosis, suboptimal infant breastfeeding, temporomandibular dysfunction, torticollis, and upper cervical dysfunction. Musculoskeletal conditions, including low back pain and headache, were evaluated in seven studies. Twenty studies reported adverse events, which were transient and mild to moderate in severity. Conclusions Fifty studies investigated the clinical effects of manual therapies for a wide variety of pediatric conditions. Moderate-positive overall assessment was found for 3 conditions: low back pain, pulled elbow, and premature infants. Inconclusive unfavorable outcomes were found for 2 conditions: scoliosis (OMT) and torticollis (MT). All other condition’s overall assessments were either inconclusive favorable or unclear. Adverse events were uncommonly reported. More robust clinical trials in this area of Healthcare are needed. Trial registration PROSPERA registration number: CRD42018091835
