Internet Journal of Allied Health Sciences and Practice最新文献

{"title":"Initial Efforts to Manage IPE during the COVID-19 Pandemic: Reports from the Big Ten Academic Alliance","authors":"Laura Smith, L. Romito, H. Congdon, F. Ascione, M. Fitzgerald, Kelly Karpa, A. Pfeifle, Brian Sick, H. Khalili","doi":"10.46743/1540-580x/2022.2157","DOIUrl":"https://doi.org/10.46743/1540-580x/2022.2157","url":null,"abstract":"Purpose: The COVID-19 pandemic required higher education institutions to quickly transition to a virtual platform. This was challenging for those involved in interprofessional education (IPE), given the goal that students from two or more professions learn about, from, and with one another. The Big Ten IPE Alliance is a subgroup of the larger Big Ten Academic Alliance. The purpose of this paper is to share the collective experiences of multiple large, research intensive universities in addressing the challenge of implementing IPE programs under the conditions established by the COVID-19 pandemic. Methods: To better understand how the Big Ten schools dealt with the transition to virtual learning for didactic and clinical IPE given the COVID-19 pandemic, a subset of representatives from the Big Ten IPE Alliance met to discuss best practices for virtual learning in the IPE realm. Each participating university completed an electronic 14 question survey related to their IPE curriculum during the COVID-19 pandemic from March 2020 thru August 2020 and the responses were analyzed. Results: Four categories were identified as needing to be addressed to develop and implement successful interprofessional didactic and clinical experiences. The categories identified included content/assessment, virtual technologies, faculty and facilitators, and learners. Conclusions/Recommendations: Consider including authentic and innovative mechanisms to deliver IPE experiences that meet the learning needs and accreditation requirements. Interinstitutional collaborations such as within the Big Ten IPE Alliance can be beneficial in assessing current and future best practices in IPE.","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"33 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84407256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extended Scope Physiotherapists are Effective and Safe in the Emergency Department: A Systematic Review and Meta-Analysis","authors":"Brittany Souter, Anne Jones, L. Sheppard, Michael Crowe","doi":"10.46743/1540-580x/2022.2130","DOIUrl":"https://doi.org/10.46743/1540-580x/2022.2130","url":null,"abstract":"Purpose: Extended scope physiotherapists (ESPs) are an innovative approach to service delivery that have emerged in response to increasing pressures on emergency departments (EDs). While previous systematic reviews have suggested that ESPs have a positive impact on ED outcomes, clinical practice recommendations based on limited evidence highlight a pressing need for evaluation studies to truly determine their effectiveness and safety in this setting. Therefore, the objective of this systematic review and meta-analysis was to evaluate the clinical effectiveness and safety of ESPs when delivering services in EDs. Method: Systematic literature searches were conducted using the online databases: Medline (Ovid), CINAHL (EBSCOhost), Scopus, PEDro, Cochrane Library and Informit in October, 2019. Randomised controlled trials (RCTs) or cohort studies investigating the clinical effectiveness and safety of ESPs in EDs in comparison with usual ED medical care providers were eligible for inclusion. Data extraction was completed using a form specifically developed for the study. The quality of each study was assessed using the Crowe Critical Appraisal Tool (CCAT) as well as a subjective assessment of bias, and the level of evidence was graded using the National Health and Medical Research Council (NHMRC) evidence hierarchy. Random-effects model meta-analyses were conducted using Stata (version 16.1). Results: Eleven studies met the inclusion criteria for the systematic review. These studies provided III-1 to III-3 evidence, with quality scores ranging from 50% to 93%. Consistent positive results were found regarding ESP clinical effectiveness and safety with meta-analyses demonstrating significant reductions in wait time (Cohen’s d effect size: -0.54; 95% confidence interval [CI]: -0.64 to -0.45) and length of stay (Cohen’s d effect size: -0.79; 95% CI: -0.86 to -0.72) for patients managed by ESPs. Although, confounding of results by treatment urgency made it difficult to establish a clear causal link between ESP services and outcomes. Conclusion: Although it was not able to be suggested that ESPs are an appropriate substitute for usual ED medical care due to the presence of bias and confounding, the results highlighted that ESPs, as an additional staff member in EDs, improve throughput and access to care for patients in lower urgency triage categories.","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"49 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90276773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Digital Health Capability Framework for Allied Health Practitioners: An Australian First","authors":"Nikki Littlewood, S. Downie, A. Sawyer, Kathleen Feely, Dhruv Govil, Britt Gordon","doi":"10.46743/1540-580x/2022.2234","DOIUrl":"https://doi.org/10.46743/1540-580x/2022.2234","url":null,"abstract":"Background: The value of digital health technologies and their contribution to high-quality and safe clinical care and enhanced health patient experience and outcomes is well established. Digital health technologies are increasingly being used by Victorian allied health professionals (AHPs) in routine service delivery, the uptake of which has been significantly accelerated by the impact of the coronavirus (COVID-19) pandemic. Objectives: This case study outlines the development of a capability framework to support Victorian AHPs, health services, other employers, and university training partners to measure and expand digital health capability at individual practitioner and workforce levels. Methods: A mixed-methods approach to the development of digital health and clinical informatics capabilities and the resultant framework is described, consisting of five phases: (i) a literature/scoping review to identify existing frameworks (ii) expert panel interviews, (iii) thematic analysis of interview themes, (iv) user testing and feedback and, (v) revision based on feedback. Results: This approach proved successful in managing key challenges that emerged during the project, as well as identifying potential barriers and enablers to longer term framework adoption, implementation, and maintenance. Conclusion: This study describes a mixed-methods approach to the development of an Australian-first, Allied health digital health capability framework to address knowledge and skills development at individual practitioner and workforce levels. This case study highlights the need for targeted education and training resources to support the health workforce to build capability in the application and use of digital health technologies. In developing a digital capability framework specific to the allied health workforce, the importance of stakeholder consultation in the early identification of barriers and enablers to potential uptake and implementation is also reinforced.","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"21 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87949909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Sexual Harassment Toward and Burnout Among Allied Healthcare Professionals","authors":"S. Cage, Meredith Decker, Brandon J. Warner, Kendall Goldberg, D. Gallegos, Julianne Goza","doi":"10.46743/1540-580x/2022.2186","DOIUrl":"https://doi.org/10.46743/1540-580x/2022.2186","url":null,"abstract":"Purpose: Burnout is a psychological cognitive-affective syndrome that is defined by emotional exhaustion, depersonalization, and reduced accomplishment. Burnout has been identified as a common issue in several allied healthcare professions, and is often contributed to by stress, workload, and social support. At the time of this study, there appears to be no published research on the relationship between levels of sexual harassment and levels of burnout. The purpose of this was to describe the prevalence of burnout and sexual harassment among allied healthcare professionals and students. A secondary purpose was to examine the potential relationship between sexual harassment and burnout among allied healthcare professionals and students. Methods: A total of 173 allied healthcare professionals and students (age= 43 ± 13, years of certified experience = 17 ± 12) opened and completed the instrument. Participants were sent an electronic survey via email that collected demographic information and assessed levels of burnout and sexual harassment. Data was downloaded and analyzed using a commercially available statistics package. Results: On average, allied healthcare professionals and students were at risk of burnout. There was a significant positive correlation between levels of burnout and sexual harassment. Additionally, females were significantly more likely to report workplace sexual harassment than males. Conclusions: The findings of this study suggest, on average, allied healthcare professionals and students are at risk of burnout. The findings also suggest that female allied healthcare professionals and students are more likely to experience burnout as a result of workplace sexual harassment. There is an evident need for employers to enhance policies and procedures to reduce and eliminate the occurrence of sexual harassment in the workplace. Doing so has the potential to reduce the risk of burnout among female allied healthcare professionals and students.","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81813422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"理学療法とオートポイエーシス","authors":"義哉 村部","doi":"10.15563/jalliedhealthsci.13.39","DOIUrl":"https://doi.org/10.15563/jalliedhealthsci.13.39","url":null,"abstract":"","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"6 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84138968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"地域包括ケア病棟の適切な管理を目的とした後方視的研究 リハビリテーションの実施に与える要因の検討","authors":"卓生 野村, 誠 井垣, 祐代 栗田, 広海 福富","doi":"10.15563/jalliedhealthsci.13.31","DOIUrl":"https://doi.org/10.15563/jalliedhealthsci.13.31","url":null,"abstract":"","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"13 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81883658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical function of outpatients and inpatients on dialysis who received physical therapy: an exploratory, crosssectional study by JSPTDM","authors":"Kono Kenichi, Igaki Makoto, T. Nomura, Kohei Mori, Koji Hiraki, H. Hayashi, Nobuhide Kawabe, Katsura Mizoguchi, Shuhei Fujimoto, Y. Tamura","doi":"10.15563/jalliedhealthsci.13.10","DOIUrl":"https://doi.org/10.15563/jalliedhealthsci.13.10","url":null,"abstract":"Objective: Hospitalization for conditions including cardiovascular diseases, infections, orthopedic diseases, and cerebrovascular diseases is responsible for the decline in activities of daily living (ADLs) in patients on dialysis. Rehabilitation during hospitalization helps these patients recover their physical function, resume ADL, and ultimately resume regular outpatient dialysis. However, the actual physical condition of patients on dialysis who are prescribed and require physical therapy has not been reported. Hence, we elucidated the actual physical condition of outpatients and inpatients on dialysis who were prescribed physical","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"52 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79204802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of dynapenia with whether participants were subject to long-term care prevention or not in the Japanese long-term care insurance system: A pilot study","authors":"Masaki Iwamura, Suguru Ando, Yosuke Yamato, Hiroyuki Kajimoto, Chikako Maeda, K. Shinbo, Wataru Nanikawa, Hitoshi Kumada","doi":"10.15563/jalliedhealthsci.13.1","DOIUrl":"https://doi.org/10.15563/jalliedhealthsci.13.1","url":null,"abstract":"Objective: The purpose of this study was to investigate the association of dynapenia, determined by lower limb muscle strength, and sarcopenia with whether participants were subject to long-term care prevention (LCP) in the Japanese long-term care insurance system. Methods: This was a cross-sectional study. The participants were 108 older adults (78.1±7.1 years, male=20), including 45 older adults who were subject to LCP (82.8±5.4 years, male=6) and 63 healthy older adults (74.7±6.2 years, male=14). Age, sex and comorbidities were collected as basic information. Height, weight, and muscle mass were measured as body composition, and grip strength, lower limb muscle strength, and gait speed were measured as physical functions. Sarcopenia was determined according to the definition of Asian Working Group for Sarcopenia in 2019. Dynapenia was determined using lower limb muscle strength. For the statistical analysis, the analysis was divided into two groups according to whether participants were subject to LCP or not. Next, we divided the participants into two groups, sarcopenia and dynapenia, and compared their physical characteristics and classification of LCP. Lastly, we used logistic regression analysis with dynapenia and sarcopenia as independent variables; age and gender as adjustment factors, and whether to undergo LCP as the dependent variable. Results: Dynapenia and sarcopenia were present in 17% and 26% of the participants. As a result of examining the association of dynapenia and sarcopenia with whether participants were subject to LCP or not, only dynapenia was found to be a significantly related factor (odds ratio: 4.6, P value: 0.025). Conclusion: Dynapenia was more closely related to whether participants were subject to LCP or not than sarcopenia. Submitted Sep. 17. 2021 Accepted Jan. 12. 2022 *Correspondence Masaki Iwamura, PT, PhD Department of Physical Therapy, Faculty of Health Science, Aino University E-mail: m-iwamura@pt-u.aino.ac.jp","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"24 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86014365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"自動音声認識を用いた単音節明瞭度評価の検討","authors":"禎輝 明﨑, 聡 池, 智幸 上松, 梨佐 光内, 一樹 有光, 康嗣 平賀, 雅史 金久","doi":"10.15563/jalliedhealthsci.13.16","DOIUrl":"https://doi.org/10.15563/jalliedhealthsci.13.16","url":null,"abstract":"","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"37 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72774263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"高次脳機能障害者の主介護者が抱える介護負担感についての 事例考察","authors":"伸弥 壹岐, 康介 平田, 朝恒 知花, 智也 石垣, 達也 尾川, 琢也 川口","doi":"10.15563/jalliedhealthsci.13.23","DOIUrl":"https://doi.org/10.15563/jalliedhealthsci.13.23","url":null,"abstract":"","PeriodicalId":45065,"journal":{"name":"Internet Journal of Allied Health Sciences and Practice","volume":"33 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73765795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}