During the Covid-19 pandemic, education in Indonesia was held using the blended learning method, or a combination of online and offline education and learning patterns. This condition creates ...obstacles for teachers in the Districts of Kebon Jeruk and Grogol Petamburan in the process of effective learning communication. This study aims to identify barriers to teacher instructional communication in two sub-districts during the Covid19 pandemic. Empirically this research was conducted so that pedagogic competence in terms of teacher instructional communication can create a climate of Active, Innovative, Creative, Effective, and Fun Learning (PAIKEM). The discussion in this study uses the Shannon Weaver communication model. This study uses qualitative and descriptive methods with a case study approach. Data collection was also carried out by observing the teachers of SDN Duri Kepa 03 Kebon Jeruk District and Al Chasanah Junior High School, Grogol Petamburan District, West Jakarta while teaching offline and online. This study uses purposive sampling, ie from the beginning, the sample has been determined with specific considerations, namely those who are considered to have the ability and competence to provide maximum data. The results showed that the steps in instructional communication could overcome the communication barriers. The conclusion of this study is that by identifying communication disorders that occur and carrying out 10 steps of instructional communication, then pedagogic competence in terms of aspects of teacher instructional communication during the Covid-19 pandemic can be overcome.
In the current information age, the use of data has become essential for decision making in public health at the local, national, and global level. Despite a global commitment to the use and sharing ...of public health data, this can be challenging in reality. No systematic framework or global operational guidelines have been created for data sharing in public health. Barriers at different levels have limited data sharing but have only been anecdotally discussed or in the context of specific case studies. Incomplete systematic evidence on the scope and variety of these barriers has limited opportunities to maximize the value and use of public health data for science and policy.
We conducted a systematic literature review of potential barriers to public health data sharing. Documents that described barriers to sharing of routinely collected public health data were eligible for inclusion and reviewed independently by a team of experts. We grouped identified barriers in a taxonomy for a focused international dialogue on solutions.
Twenty potential barriers were identified and classified in six categories: technical, motivational, economic, political, legal and ethical. The first three categories are deeply rooted in well-known challenges of health information systems for which structural solutions have yet to be found; the last three have solutions that lie in an international dialogue aimed at generating consensus on policies and instruments for data sharing.
The simultaneous effect of multiple interacting barriers ranging from technical to intangible issues has greatly complicated advances in public health data sharing. A systematic framework of barriers to data sharing in public health will be essential to accelerate the use of valuable information for the global good.
Seriously ill hospitalized patients have identified communication and decision making about goals of care as high priorities for quality improvement in end-of-life care. Interventions to improve care ...are more likely to succeed if tailored to existing barriers.
To determine, from the perspective of hospital-based clinicians, (1) barriers impeding communication and decision making about goals of care with seriously ill hospitalized patients and their families and (2) their own willingness and the acceptability for other clinicians to engage in this process.
Multicenter survey of medical teaching units of nurses, internal medicine residents, and staff physicians from participating units at 13 university-based hospitals from 5 Canadian provinces.
Importance of 21 barriers to goals of care discussions rated on a 7-point scale (1 = extremely unimportant; 7 = extremely important).
Between September 2012 and March 2013, questionnaires were returned by 1256 of 1617 eligible clinicians, for an overall response rate of 77.7% (512 of 646 nurses 79.3%, 484 of 634 residents 76.3%, 260 of 337 staff physicians 77.2%). The following family member-related and patient-related factors were consistently identified by all 3 clinician groups as the most important barriers to goals of care discussions: family members' or patients' difficulty accepting a poor prognosis (mean SD score, 5.8 1.2 and 5.6 1.3, respectively), family members' or patients' difficulty understanding the limitations and complications of life-sustaining treatments (5.8 1.2 for both groups), disagreement among family members about goals of care (5.8 1.2), and patients' incapacity to make goals of care decisions (5.6 1.2). Clinicians perceived their own skills and system factors as less important barriers. Participants viewed it as acceptable for all clinician groups to engage in goals of care discussions-including a role for advance practice nurses, nurses, and social workers to initiate goals of care discussions and be a decision coach.
Hospital-based clinicians perceive family member-related and patient-related factors as the most important barriers to goals of care discussions. All health care professionals were viewed as playing important roles in addressing goals of care. These findings can inform the design of future interventions to improve communication and decision making about goals of care.
Objective: This study explores the experiences of young adults with psychosis using a smartphone application to promote patient activation and support shared decision making in their outpatient ...treatment. Method: Semistructured interviews were conducted with eight participants who had access to the app while receiving mental health treatment. Qualitative data from the interviews were analyzed using thematic analysis aimed at experiences of interacting with the app. Results: Four themes were extracted from the interviews: supporting users with memory difficulties, giving symptoms substance, a new source of information to guide conversations, and the challenge of capturing complex experiences digitally. While the majority of the themes highlight the benefits of using the app in ways that may facilitate communication between patient and provider, the participants also described some negative experiences when interacting with the app concerning failure to communicate nuances and emotional states satisfyingly. Conclusion and Implications for Practice: Experiences with the app were double sided. On the one hand, the use of the app supports communication, and conversely, interaction with the app can create limitations and new challenges for communication. There is a need for more research to understand the use of mental health smartphone apps and their role in supporting interactive processes such as shared decision making in mental health. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: journal abstract)
ABSTRACT Objective: to carry out an integrative review about the augmentative and alternative communication strategies used with adults and the elderly in the hospital environment and their impact on ...communication. Methods: this research study used the integrative review methodology with descriptors in English and Portuguese: 'communication', 'hospitals', 'communication aids for the disabled', in the following databases: LILACS, PubMed, Cinahl, Cochrane Library, SciELO, Scopus, Web of Science. Several articles in English and Portuguese, from the last 14 years, which addressed alternative communication strategies used with hospitalized adults and the elderly, were included. Studies on children, as well as duplicates, reviews, and those that addressed other methods of communication were excluded. Results: 13 articles characterized the alternative communication strategies used with adults and the elderly. There was a prevalence of intubated or tracheostomized patients, and health professionals, nurses being the ones with the highest citation, and researches on a qualitative approach. Six studies have used high and low technologies; however, most have shown a greater use of low-tech tools. Conclusion: a variety of high and low-tech strategies were identified, a reduction in communication difficulties being noted, as well as improvements in the quality of life and communication with professionals. The most used tool was the communication board, due to its hospitals' availability and its simple use. The evaluation and the effectiveness of communication tools in distinct clinical settings and profiles should be studied.
RESUMO Objetivo: realizar uma revisão integrativa sobre estratégias de comunicação suplementar e/ou alternativa utilizadas com adultos e idosos no ambiente hospitalar e a repercussão na comunicação. Métodos: foi realizada uma revisão integrativa com descritores em inglês e português: ‘communication’ ‘hospitals’ ‘communication aids for disabled’, nas bases de dados: LILACS, PubMed, Cinahl, Cochrane Library, SciELO, Scopus, Web of Science e incluídos artigos em inglês e português, dos últimos 14 anos, que abordassem a comunicação alternativa em adultos e idosos hospitalizados. Estudos com crianças, duplicados, revisão e que abordassem outros métodos de comunicação foram excluídos. Resultados: 13 artigos caracterizaram estratégias de comunicação alternativa utilizadas com adultos e idosos. A prevalência foi de pacientes intubados, traqueostomizados, profissionais de saúde, sendo o enfermeiro com maior citação e, pesquisas com abordagem qualitativa. Seis estudos utilizaram alta e baixa tecnologia, no entanto, a maioria evidenciou maior uso das ferramentas de baixa tecnologia. Conclusão: identificou-se uma variedade de estratégias de alta e baixa tecnologia, sendo observada redução das dificuldades de comunicação, melhora da qualidade de vida e comunicação com profissionais. A prancha de comunicação foi a mais utilizada, devido a disponibilidade nos hospitais e facilidade no uso. Sugere-se estudos sobre avaliação e eficácia das ferramentas de comunicação em diferentes setores e perfis clínicos.
This systematic review assesses whether limited-English proficiency (LEP) increases risk of having poor perioperative care and outcomes. This review was conducted according to Preferred Reporting ...Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 99 articles were identified in Embase and PubMed and screened by 2 independent reviewers. Ten studies, which included 3 prospective cohort studies, 6 retrospective cohort studies, and 1 cross-sectional study, met inclusion and exclusion criteria. All studies were of high-quality rating according to the Newcastle-Ottawa scale. Subsequently, the Levels of Evidence Rating Scale for Prognostic/Risk Studies and Grade Practice Recommendations from the American Society of Plastic Surgeons were used to assess the quality of evidence of each study and the strength of the body of evidence, respectively. There is strong evidence that professional medical interpreter (PMI) use or having a language-concordant provider for LEP patients improves understanding of the procedural consent. The evidence also highly suggests that LEP patients are at risk of poorer postoperative pain control and poorer understanding of discharge instructions compared with English-speaking patients. Further studies are needed to discern whether consistent PMI use can minimize the disparities in pain control and discharge planning between LEP and English-proficient (EP) patients. There is some evidence that LEP status is not associated with differences in having adequate access to and receiving surgical preoperative evaluation. However, the evidence is weak given the small number of studies available. There are currently no studies on whether LEP status impacts access to preoperative evaluation by an anesthesiology-led team to optimize the patient for surgery. There is some evidence to suggest that LEP patients, especially when PMI services are not used consistently, are at risk for increased length of stay, more complications, and worse clinical outcomes. The available outcomes research is limited by the relative infrequency of complications. Additionally, only 4 studies validated whether LEP patients utilized a PMI. Future studies should use larger sample sizes and ascertain whether LEP patients utilized a PMI, and the effect of PMI use on outcomes.
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