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1.
Praxis (Bern 1994) ; 110(1): 3-4, 2022 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-34983202

RESUMEN

Interprofessional Collaboration in Health Care Abstract. Interprofessional collaboration is a hallmark of good and efficient patient care, where several healthcare professionals put their competencies together to care for patients. Interprofessional education is a necessary first step to prepare the different professions for collaborations in their later professional practices. Shared training courses help to empower collaborative healthcare teams so they can respond in an adapted and effective way to individual and local health needs.


Asunto(s)
Relaciones Interprofesionales , Grupo de Atención al Paciente , Conducta Cooperativa , Atención a la Salud , Personal de Salud , Humanos
2.
BMC Health Serv Res ; 22(1): 88, 2022 Jan 18.
Artículo en Inglés | MEDLINE | ID: mdl-35042482

RESUMEN

BACKGROUND: Educators who train healthcare students to provide behavioral health services in primary care settings frequently encounter challenges as they work to ensure that students acquire the knowledge and skills to effectively function on interprofessional practice teams. This has become increasingly important during COVID-19, as interprofessional collaborative practice is needed more than ever to address the interrelated health, mental health, and social structural issues linked to the pandemic. METHODS: We used qualitative focus groups to understand the experiences of 6 interprofessional teams (comprised of graduate social work, nursing, and rehabilitation counseling students; n = 19) providing behavioral health services in primary care settings before and after the immediate start of COVID-19. To triangulate data and enrich findings, one focus group with students' faculty supervisors was also conducted; n = 5). Data were analyzed using thematic analysis. RESULTS: Four themes highlighted student participants' need to assert themselves at the beginning of their educational experience, to communicate and learn from one another to develop positive team dynamics, to contend with role confusion and missed opportunities for collaboration, and to manage the emotional impact of COVID-19 on learning. CONCLUSION: Findings indicate that educators should work with clinical faculty and agency supervisors to orient students to ensure they have role clarity within the agency. Graduate students providing behavioral health services should also learn to work collaboratively within their scopes of practice to serve patients virtually, especially in preparation for public health emergencies.


Asunto(s)
COVID-19 , Conducta Cooperativa , Consejo , Humanos , Relaciones Interprofesionales , SARS-CoV-2 , Servicio Social , Estudiantes
3.
J Prof Nurs ; 38: 17-25, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35042585

RESUMEN

BACKGROUND: Interprofessional student hotspotting involves experiential and longitudinal learning about team-based care for patients with complex medical and social needs. As an emerging strategy for interprofessional education, there have been few research studies to examine student perspectives. PURPOSE: This study used a descriptive qualitative approach to examine the experiences and perspectives of health professions students who participated in a six-month interprofessional student hotspotting program. METHODS: At the end of the program, focus group interviews were conducted with 24 health professions students from medicine, social work, pharmacy, nursing, and health psychology. RESULTS: Thematic analysis revealed four themes: Observed benefits of interprofessional collaboration; Gained skills for collaborative care; Experienced difficulty managing group dynamics; and Learned approaches to caring for complex patients. CONCLUSION: The hotspotting program helped deepen students' appreciation for interprofessional team-based care. Repeated practice of teamwork skills during the six-month clinical learning experience resulted in students feeling more prepared to provide collaborative care for complex patients.


Asunto(s)
Relaciones Interprofesionales , Estudiantes del Área de la Salud , Conducta Cooperativa , Personal de Salud , Humanos , Aprendizaje , Grupo de Atención al Paciente
4.
Nurse Educ Today ; 108: 105165, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-34656937

RESUMEN

Interprofessional education within healthcare has been shown to have many benefits, however, it is a relatively new educational concept within the Arabic setting. Although the Readiness for Interprofessional Learning Scale is a commonly utilised tool to examine student attitudes, there is a lack of evidence for use of an Arabic translated version. The aim of this study was to develop and psychometrically evaluate an Arabic language version of the Readiness for Interprofessional Learning Scale with Saudi nurses. Two independent translators, proficient in both English and Arabic languages, completed a forward-backward translation of the original English version of the Readiness for Interprofessional Learning Scale. Subsequently, this Readiness for Interprofessional Learning Scale-Arabic version was used to collect data from undergraduate nursing students enrolled at a number of Saudi Arabian universities. Exploratory and Confirmatory Factor Analyses were then performed on the scale. Six hundred and fifty-two participants were recruited. Exploratory Factor Analysis of the Readiness for Interprofessional Learning Scale-Arabic version resulted in a 15-item, three-factor model. Subsequent analysis with Confirmatory Factor Analysis and the resultant final 13-item model demonstrated a poor fit between the hypothesized model and the data. Although our three-factor model is supported by previous studies, the proposed model did not perform well on Confirmatory Factor Analysis assessment. This suggests that there may be issues of applicability of the Readiness for Interprofessional Learning Scale-Arabic version within the current cohort. The present study of the Readiness for Interprofessional Learning Scale-Arabic version has demonstrated some psychometric inadequacies and thus it is possible that this scale may not be appropriate for use with Saudi nurses. However further research with different professional groups is suggested to fully explore its utility within the Saudi setting.


Asunto(s)
Bachillerato en Enfermería , Estudiantes del Área de la Salud , Estudiantes de Enfermería , Actitud del Personal de Salud , Conducta Cooperativa , Humanos , Relaciones Interprofesionales , Lenguaje , Psicometría , Reproducibilidad de los Resultados , Arabia Saudita , Encuestas y Cuestionarios
6.
J Christ Nurs ; 39(1): 36-41, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34860766

RESUMEN

ABSTRACT: In the face of a public health emergency, nurses, particularly those serving faith communities, need to understand and live out their roles in adhering to evidence-based practice while demonstrating grace and obedience to Scripture. Serving as public health role models and advocates, nurses in faith communities can inform and support church leaders in following government directives for the common good. Applicable Scripture, ethical, and research considerations are presented.


Asunto(s)
Promoción de la Salud , Pandemias , Conducta Cooperativa , Humanos
7.
Nat Commun ; 12(1): 7332, 2021 12 17.
Artículo en Inglés | MEDLINE | ID: mdl-34921140

RESUMEN

Female intrasexual competition can be intense in cooperatively breeding species, with some dominant breeders (matriarchs) limiting reproduction in subordinates via aggression, eviction or infanticide. In males, such tendencies bidirectionally link to testosterone, but in females, there has been little systematic investigation of androgen-mediated behaviour within and across generations. In 22 clans of wild meerkats (Suricata suricatta), we show that matriarchs 1) express peak androgen concentrations during late gestation, 2) when displaying peak feeding competition, dominance behaviour, and evictions, and 3) relative to subordinates, produce offspring that are more aggressive in early development. Late-gestation antiandrogen treatment of matriarchs 4) specifically reduces dominance behaviour, is associated with infrequent evictions, decreases social centrality within the clan, 5) increases aggression in cohabiting subordinate dams, and 6) reduces offspring aggression. These effects implicate androgen-mediated aggression in the operation of female sexual selection, and intergenerational transmission of masculinised phenotypes in the evolution of meerkat cooperative breeding.


Asunto(s)
Andrógenos/metabolismo , Cruzamiento , Conducta Competitiva/fisiología , Conducta Cooperativa , Herpestidae/fisiología , Conducta Sexual Animal/fisiología , Agresión , Antagonistas de Andrógenos/farmacología , Animales , Animales Recién Nacidos , Animales Salvajes/fisiología , Conducta Competitiva/efectos de los fármacos , Heces/química , Femenino , Flutamida/farmacología , Herpestidae/sangre , Masculino , Parto/fisiología , Embarazo , Conducta Sexual Animal/efectos de los fármacos
8.
Artículo en Inglés | MEDLINE | ID: mdl-34948672

RESUMEN

Social organizations have become an important component of the emergency management system by virtue of their heterogeneous resource advantages. It is of great significance to explore the interaction between the local government and social organizations and to clarify the key factors affecting the participation of social organizations in natural hazard emergency responses. With the aim of exploring the relationship between the local government and social organizations, based on evolutionary game theory, the emergency incentive game model and the emergency linkage game model of natural hazard emergency responses were constructed. The evolutionary trajectories of the emergency incentive game system and the emergency linkage game system were described by numerical simulation. Meanwhile, the influence mechanism of government decision parameters on the strategy selection of both game subjects was analyzed. The results show that both governmental incentive strategy and linkage strategy can significantly improve the enthusiasm of social organizations for participating in natural hazard emergency responses. Moreover, they could encourage social organizations to choose a positive participation strategy. Nevertheless, over-reliance on incentives reduces the probability of the local government choosing a positive emergency strategy. In addition, we found that, when both game subjects tend to choose a positive strategy, the strategy selection of the local government drives that of social organizations.


Asunto(s)
Teoría del Juego , Motivación , Evolución Biológica , Conducta Cooperativa , Humanos , Gobierno Local , Organizaciones
10.
PLoS One ; 16(12): e0261936, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34962971

RESUMEN

BACKGROUND: Birth-preparedness and complication-readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The involvement of husband during pregnancy helps a mother to make timely decisions to avoid delays. Identifying the level of husband involvement in Birth-preparedness and complication-readiness is very important, as husband is the major decision maker in household and health service related issue. However, there is no sufficient data in the Kucha district, which describes the level of husband involvement in Birth-preparedness and complication-readiness. Therefore, this study assessed the level of husband involvement in birth preparedness and complication readiness in Kucha District, Gamo Zone, Ethiopia. METHODS: Community-based cross-sectional study was conducted on 421 husbands whose wife gave birth within the last 12 months at Kucha District using simple random sampling technique. Data was collected using a pretested interviewer-administered questionnaire by trained data collectors. Binary and multivariable logistic regression with odds ratios along with the 95% confidence interval analysis were employed to find factors associated with the level of husband involvement. A p-value <0.05 with 95% confidence level used to decide statistical significance. RESULTS: Data were collected from 421 study participants. One hundred twenty-seven (30.2%) were involved in birth preparedness and complication readiness plan. Participants who had at least secondary school education AOR = 3.1, CI (1.84-5.23), had at least four antenatal care visits AOR = 4.91, CI (2.36-10.2), and live more than five km from the health care facility AOR = 2.35, CI = 1.40-3.96) were involved in birth preparedness and complication readiness plan. CONCLUSION: Husbands' involvement in birth preparedness and complication readiness was low. Husband's higher educational level, high frequency of antenatal care, and long distance to the health facility were significantly associated with husbands' involvement in Birth-preparedness and complication-readiness plan. Therefore, advocating for higher frequency of antenatal care and improving educational level are important to increase husbands' involvement in birth preparedness and complication readiness plan.


Asunto(s)
Parto Obstétrico/métodos , Padre , Parto/fisiología , Adulto , Conducta Cooperativa , Estudios Transversales , Escolaridad , Etiopía , Femenino , Instituciones de Salud , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Madres , Análisis Multivariante , Embarazo , Complicaciones del Embarazo , Mujeres Embarazadas , Atención Prenatal/estadística & datos numéricos , Educación Prenatal , Esposos , Encuestas y Cuestionarios
11.
PLoS One ; 16(12): e0261954, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34972166

RESUMEN

Cybersecurity affects us all in our daily lives. New knowledge on best practices, new vulnerabilities, and timely fixes for cybersecurity issues is growing super-linearly, and is spread across numerous, heterogeneous sources. Because of that, community contribution-based, question and answer sites have become clearinghouses for cybersecurity-related inquiries, as they have for many other topics. Historically, Stack Overflow has been the most popular platform for different kinds of technical questions, including for cybersecurity. That has been changing, however, with the advent of Security Stack Exchange, a site specifically designed for cybersecurity-related questions and answers. More recently, some cybersecurity-related subreddits of Reddit, have become hubs for cybersecurity-related questions and discussions. The availability of multiple overlapping communities has created a complex terrain to navigate for someone looking for an answer to a cybersecurity question. In this paper, we investigate how and why people choose among three prominent, overlapping, question and answer communities, for their cybersecurity knowledge needs. We aggregated data of several consecutive years of cybersecurity-related questions from Stack Overflow, Security Stack Exchange, and Reddit, and performed statistical, linguistic, and longitudinal analysis. To triangulate the results, we also conducted user surveys. We found that the user behavior across those three communities is different, in most cases. Likewise, cybersecurity-related questions asked on the three sites are different, more technical on Security Stack Exchange and Stack Overflow, and more subjective and personal on Reddit. Moreover, there appears to have been a differentiation of the communities along the same lines, accompanied by overall popularity trends suggestive of Stack Overflow's decline and Security Stack Exchange's rise within the cybersecurity community. Reddit is addressing the more subjective, discussion type needs of the lay community, and is growing rapidly.


Asunto(s)
Seguridad Computacional , Recolección de Datos , Internet , Informática Médica/organización & administración , Anciano de 80 o más Años , Conducta Cooperativa , Humanos , Aplicaciones Móviles , Investigación Cualitativa , Estadística como Asunto , Encuestas y Cuestionarios
14.
Front Public Health ; 9: 738184, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34722447

RESUMEN

The outbreak and persistence of COVID-19 have posed a great threat to global public health and economic development. The continuous economic deterioration has been intensified due to the continuous prevention and control measures, such as closed management. Insisting on the prevention of the epidemic or economic restart has become a dilemma for all countries. Epidemic prevention is not only the main behavior of a single country but also a common problem faced by all countries in the region. Continuous prevention measures will affect economic development, but an early restart of the economy is faced with the recurrence of the epidemic. To avoid the emergence of prisoner's dilemma in the governance of the epidemic, each country cannot make decisions with its optimization, and so it is necessary to build a regional cooperation mechanism to achieve the overall optimization of the economy and prevent the epidemic. Based on the game theory, we analyzed the behavior of countries when carrying out regional cooperation to govern the epidemic and put forward specific cooperative income distribution schemes according to the different attributes of the countries. Our results showed that in the presence of population mobility, regional cooperation to govern the epidemic can minimize the total number of infected people and maximize the overall utility of the region, which was significantly better than the overall benefits of the region in the case of non-cooperation. However, in detail, the smaller the difference of preference for preventing and controlling the epidemic between the two, the more likely it is to lead to a win-win situation. Otherwise, there will be one with damaged interests. When damaged interests appear, the appropriate distribution of cooperative income to the country with a small economic scale and low preference in preventing the epidemic is more conducive to the achievement of cooperative mechanisms and the realization of a win-win situation in the region.


Asunto(s)
COVID-19 , Epidemias , Conducta Cooperativa , Teoría del Juego , Humanos , SARS-CoV-2
15.
Mil Med ; 186(Suppl 3): 53-56, 2021 10 26.
Artículo en Inglés | MEDLINE | ID: mdl-34723321

RESUMEN

The success of the military is significantly supported by highly effective collaborative teams. While much is known about successful military teams outside the context of healthcare delivery, considerably less attention has been paid to teams working in patient care. Thus, this supplement has explored the features of successful military interprofessional healthcare teams (MIHTs). In this summary paper, the authors discuss what this supplement's investigations have taught us about MIHTs and offer a series of proposed future investigations of MIHTs and their role in military healthcare.


Asunto(s)
Personal Militar , Conducta Cooperativa , Atención a la Salud , Humanos , Relaciones Interprofesionales , Atención al Paciente , Grupo de Atención al Paciente
16.
Mil Med ; 186(Suppl 3): 48-50, 2021 10 26.
Artículo en Inglés | MEDLINE | ID: mdl-34724054

RESUMEN

The importance of successful interprofessional collaboration for effective patient care is generally acknowledged. Research into interprofessional collaboration has thus far been mainly situated in the civilian context and has mostly indicated barriers that prevent successful interprofessional collaboration. However, military interprofessional healthcare teams (MIHTs) seem to be exceptionally successful. Building on the overarching finding of the studies within this special edition-i.e., that MIHTs' readiness and excellence are in part due to healthcare professionals' "shared understanding" of what is needed to effectively serve on an MIHT-this commentary uses the theory of Landscape of Practice as a lens to further explain the processes through which healthcare professionals attain this shared understanding. Used within the fields of Health Professions Education and workplace learning, Landscapes of Practice (LoP) helps to explain how learning occurs within practice. It highlights how, by engaging within the various working environments belonging to a profession, social interactions between the various professionals within that environment form the conduit for learning. LoP highlights that the outcome of this learning process is "knowledgeability," i.e., understanding of how to engage within the field and with its players, resulting in being an acknowledged member of the field. Fostered through a process called "identification," professionals learn to see how their professional practice aligns with that of others and how to effectively collaborate with others. The commentary explains how the findings of the separate studies within this special edition strongly resonate with knowledgeability and identification. It is concluded that civilian interprofessional healthcare teams may benefit from incorporating characteristics of MIHTs in their training programs.


Asunto(s)
Personal Militar , Conducta Cooperativa , Personal de Salud , Humanos , Relaciones Interprofesionales , Grupo de Atención al Paciente
17.
BMC Health Serv Res ; 21(1): 1269, 2021 Nov 24.
Artículo en Inglés | MEDLINE | ID: mdl-34819071

RESUMEN

BACKGROUND: Collaboration is the way to deliver the desired health outcome for the patients or service users in the healthcare. Inter-professional collaboration can improve medication safety, patient outcome and minimize healthcare costs. This study aimed to explore the degree of collaboration and factors influencing collaboration between physicians and pharmacists within the public hospitals of Jigjiga town, Somali National Regional State, Ethiopia, 2020. METHODS: A cross-sectional study qualitative was conducted among 149 participants in the two governmental hospitals of the Jigjiga town with a response rate of 79.87%. The collaborative working relationship model and the physician-pharmacist collaborative instrument with three main exchange domains (trustworthiness, role specification, and relationship initiation) and collaborative care items were used. An independent sample t-test was used to compute the differences of the mean scores of physician-pharmacist collaborative instrument domains and collaborative care. Separate multiple regression was employed to assess factors influencing collaborative care for pharmacists and physicians. RESULTS: This study showed that pharmacists reported higher mean of collaborative care (10.66 ± 4.75) than physicians (9.17 ± 3.92). The multiple regression indicated that area of practice influence both professionals' collaborative practice. A significant association between collaborative care and the two PPCI domains (trustworthiness and relationship initiation for the physicians; role specification and relationship initiation for pharmacists) was established. CONCLUSIONS: The study showed that the collaboration between the physicians and pharmacists was sub-optimal and the exchange variables had a significant influence on their collaboration. RECOMMENDATION: Physicians and pharmacists need to exert more efforts to enhance this collaboration. Further qualitative study might be needed to search for factors affecting, barriers and how to develop collaborative practice.


Asunto(s)
Farmacéuticos , Médicos , Actitud del Personal de Salud , Conducta Cooperativa , Estudios Transversales , Etiopía , Hospitales Públicos , Humanos , Relaciones Interprofesionales , Rol Profesional , Somalia
18.
Pan Afr Med J ; 40: 46, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34795827

RESUMEN

Since the beginning of June 2021, Zimbabwe entered into a harsh third wave of the COVID-19 pandemic, which saw an increase in the cumulative number of cases from approximately 38,000 to 120,000 in just two months. This exponential case rise was accompanied by an increase in the absolute number of case fatalities, with a corresponding strain on the public health sector. To effectively inform public health responses, policy and strategy to deal with the current wave and prepare for further waves, we discuss the drivers and challenges of control for this current wave and future waves, and offer practical recommendations. Vaccination will be the most important public health intervention to deal with the spread, morbidity and mortality of COVID-19, therefore, efforts to fight vaccine hesitancy and build vaccine confidence and availability will be critical. Similarly, it will be important to build public health sector capacity and resilience to adequately deal with large-scale outbreaks and absorb the shock waves associated with such. Resuscitating and building the economy is an indispensable component of protecting public health. Therefore, collaborative efforts from relevant public health stakeholders, economists, politicians and other players are required to effectively coordinate the necessary responses and formulate the right policies and strategies.


Asunto(s)
Vacunas contra la COVID-19/administración & dosificación , COVID-19/epidemiología , Salud Pública , Vacunación , COVID-19/mortalidad , COVID-19/prevención & control , Creación de Capacidad , Conducta Cooperativa , Política de Salud , Humanos , Negativa a la Vacunación , Zimbabwe/epidemiología
19.
Hist Philos Life Sci ; 43(4): 123, 2021 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-34807335

RESUMEN

Recent evolutionary studies on cooperation devote specific attention to non-verbal expressions of emotions. In this paper, I examine Robert Frank's popular attempt to explain emotions, non-verbal markers and social behaviours. Following this line of work, I focus on the green-beard explanation of social behaviours. In response to the criticisms raised against this controversial ultimate explanation, based on resources found in Frank's work, I propose an alternative red-beard explanation of human sociality. The red-beard explanation explains the emergence and evolution of emotions, a proximate cause, rather than patterns of behaviour. In contrast to simple evolutionary models that invoke a green-beard mechanism, I demonstrate that the red-beard explanation can be evolutionary stable. Social emotions are a common cause of a social behaviour and a phenotypic marker and therefore cooperative behaviour cannot be suppressed without also changing the marker.


Asunto(s)
Evolución Biológica , Conducta Social , Conducta Cooperativa , Emociones , Humanos
20.
Artículo en Inglés | MEDLINE | ID: mdl-34769929

RESUMEN

This study examined the relationship between social cohesion and the perceived interest in, the usefulness of, and the ease of use of an instructor-based driver assistance system in a sample of older adults. With the aging of the population, the use of technologies to support the driving skills of the elderly is expected, and it is necessary to clarify the conditions under which the elderly will be interested in these advanced technologies. Traditionally, social cohesion has been focused on as a function of instrumental and practical support in the lives of the elderly. Since social cohesion reflects the intention to help each other, it could be an opportunity to provide information on advanced driving skill techniques to older people who are becoming more difficult to drive. As an initial exploration, this study examined whether social cohesion was associated with the interest in, the usefulness of, and the ease of use of an instructor-based driver assistance system in 150 elderly people. The results showed that a greater social cohesion was significantly associated with these evaluations, and that a comprehension of the system also contributed. The possession of a license was significantly associated with interest in the program. These findings are an essential step toward the understanding of the roles of social cohesion and positive perception of advanced technology in older adults.


Asunto(s)
Conducción de Automóvil , Conducta Cooperativa , Anciano , Envejecimiento , Humanos , Intención
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