This research explores the disconnect between researchers and practicing clinicians on research collaboration, which is attributed to various barriers, therefore creating a researcher-clinician gap. Survey research was conducted and practicing clinicians in the Tri-Cities region of Tennessee acted as respondents. Results may contribute to establishing practicing clinician-research collaboration in this context.

Immigrant clinicians are vital to population healthcare delivery and therefore population health. One in four physicians in the USA is foreign-born and notably represented in family and pediatric medicine—specialties charged with administering childhood/adolescent vaccines, such as human papillomavirus vaccine (HPVV). Our examination suggests there may be unique cultural and socialization factors that influence clinician HPVV recommendation practice; however, immigrant clinicians have not been adequately engaged within the national HPVV agenda. Given the volume and significance of immigrant clinicians, engagement of these clinicians, in both community and nation-wide efforts to increase HPVV, is a necessary step for improving and achieving the national health goal of optimizing HPVV for cancer prevention.

Immigrant clinicians are vital to population healthcare delivery and therefore population health. One in four physicians in the United States are foreign-born and notably represented in family and pediatric medicine–specialties charged with administering childhood/adolescent vaccines, such as Human Papillomavirus vaccine (HPVV). Our examination suggests there may be unique cultural and socialization factors that influence clinician HPVV recommendation practice; however, immigrant clinicians have not been adequately engaged within the national HPVV agenda. Given the volume and significance of immigrant clinicians, engagement of these clinicians, in both community and nation-wide efforts to increase HPVV, is a necessary step for improving and achieving the national health goal of optimizing HPVV for cancer prevention.

Adolescent engagement in home-based treatment is a challenge within the social work field. Studies have suggested that the foundation of clinical practice relies on the clinician's ability to understand the process of engaging adolescents in treatment, which may also include a period of adaptability, relatability, and connectedness within the treatment setting. The purpose of this study is to explore the clinical practice approaches, roles, and experiences utilized in home-based treatment to adolescents residing in a large city in northeastern United States. This study was grounded in the ecological systems theory which provides social workers with an opportunity to assess the relationships between an individuals behaviors and the environment. A qualitative research design was used in this study. Social work clinicians participated in focus groups to address the clinical roles, characteristics, and skills essential for reducing barriers related to adolescent engagement in home-based treatment and explore the clinical practice approaches and knowledge base related to adolescent engagement in home-based treatment, including the areas of competence, respect, empathy, and passion. Data were analyzed using audiotapes of the focus groups, the transcription process, coding, and a reliability check. Findings from this study suggest that effective social work practice techniques depend upon the clinician's ability to engage the adolescent throughout the entire treatment process. The outcomes for this action research study included both challenging and rewarding opportunities for clinicians to increase understanding of characteristics, skills, values, and experiences in providing home-based treatment to adolescents of a large city in the northeastern United States.

No description available.

No description available.

Svensk ambulanssjukvård har under de senaste decennierna utvecklats och anses idag bedriva kvalificerad akutsjukvård. Men ambulanssjukvården har en utsatt arbetsmiljö som allt mer utsätts för hot och våld i det vårdande arbetet. Varje patient förtjänar en trygg och säker vård. Syftet var att beskriva hur ambulanspersonal upplever att vårdandet kan påverkas vid hot och våld i ambulanssjukvården. Metoden som användes var en litteraturöversikt. I denna litteraturöversikt har 15 vetenskapliga artiklar inkluderats. Artiklarna hämtades från databaserna Pubmed och Cinahl. Varje artikel är kvalitetsgranskad och bedömd enligt bedömningsmall från Sophiahemmet Högskola. Resultatet visar att ambulanspersonal som drabbas av våld upplevde att våldet stundtals kunde leda till försämrad vårdkvalité då situationen upplevdes som stressande. Ambulanspersonalen kände också oro för våld på arbetsplatsen vilket kunde påverka vårdandet. Dessutom upplevde ambulanspersonalen att korrekt träning och utbildning skulle kunna stärka säkerheten och samtidigt resultera i en bättre vårdkontakt. Ambulanspersonal som har utsatts för hot och våld har förändrat sitt beteende och känner sig alltmer rädd och oroad på arbetsplatsen samt arbetar med en ökad försiktighet och misstänksamhet. Effekterna av detta kan leda till en minskad empati mot patienten. Vid situationer där hot och våld är förekommande är det vanligt att vårdandet hamnar i bakgrunden. Slutsatsen visar att situationer där hot och våld förekommer i ambulanssjukvård ökar risken för konsekvenser för vårdandet. Ambulanspersonalens känslor och bemötande påverkas i negativ riktning vilket i sin tur kan leda till att vården påverkas. Ambulanspersonal behöver mer utbildning i hur de ska agera i en hotfull situation där risken för påverkan på vården finns. Avslutningsvis är det av stor vikt att ambulanspersonalen erhåller önskat stöd och eventuell rehabilitering efter en situation där hot och våld utspelats. / Swedish ambulance care has developed during the last decades and today it is considered to provide qualified emergency care. But the ambulance care has an exposed work environment that more often receives threats and violence in the work of care. Every patient deserves safe and secure care. Furthermore, it is important that ambulance staff gets to work in a safe and healthy environment. The purpose was to describe the ambulance staff´s experiences how the caring may be affected by threats and violence in ambulance care. The used method was a literature review. In this literature review 15 scientific articles were included. The articles were collected from the databases Pubmed and Cinahl. Each article was quality reviewed and assessed according to an assessment template from Sophiahemmet University. The result shows that ambulance staff affected by violence experienced that violence sometimes could lead to impaired quality of care when the situation was perceived as stressful. The ambulance staff were also concerned about violence in the workplace, which could affect the caring. In addition, the ambulance staff felt that proper training and education could strengthen safety and at the same time result in better care. Ambulance staff that have been exposed to threat and violence have changed their behavior and feel more scared and concerned at work, they also work with increased caution and suspicion. The effects of violence may lead to reduced empathy towards the patient. In situations where threats and violence occur it is common that the caring ends up in the background. In conclusion, situations where threat and violence occur in ambulance environments increases the risk of negative consequences for the caring. The ambulance staff's feelings and treatment are affected in a negative direction which may lead to influence in the caring. The ambulance staff need more education in how they are supposed to act in a threatening situation when there is a risk of consequences of the caring. Finally, it is important that ambulance staff receives support and possible rehabilitation after a situation that contains threat and violence.

No description available.

No description available.

No description available.