Purpose of the research<p>This paper presents an analysis of, and recommendations for, the training and accreditation of healthcare workers in Canada<p>The significant cost of education and healthcare, as well as the current and ongoing national shortage of healthcare professionals, warrants a critical look at the educational training requirements of healthcare workers in Canada. This topic includes reviewing the historical background of training for a variety of healthcare professionals in Western cultures, the common philosophy of education trends for these workers, and the future directions for various professions, focusing specifically on Medical Radiation Technologists in Canada.<p>Methods used <p>The methodology applied to this research is that of critical analysis, utilizing the following critical skills as proposed by philosopher Bertrand Russell: (i) the ability to form an opinion for oneself (tasks of recognizing, listening and questioning), (ii) the ability to find an impartial solution (dealing with biases and detachment for beliefs, judging on merit of issues), and (iii) the ability to identify and question assumptions (emphasis on judgment, critical reflection and constructive rather than destructive doubt)(Hare, 2001, pp8-9). Recommendations regarding pre-service and continuing educational training for Medical Radiation Technologists in Canada will be proposed.<p>Tied to any investigation of healthcare workers is a critical assessment of the healthcare system, as the needs of the community that is served by these professionals must be identified and successfully met. The literature review includes national statistics and summaries of health and lifestyle trends, as well as the trends for the education and training of healthcare workers.<p>Results obtained/Significance of findings<p>Reflective, critical assessment of the training and future trends of healthcare workers reveals that healthcare has undergone two major changes in focus: (1) healthcare as a business and (2) the holistic interdisciplinary trend of patient care.<p>After investigating the trends of health care professionals training, and even though the arguments for degree as entry-to-practice are very strong on many levels, I dont feel that I can conclude that the degree is the only option. If diploma training can adequately provide the basic theory and skills needed, additional skills and training, when required for a particular task, should be, and currently are, made available to the individual.

Purpose of the research<p>This paper presents an analysis of, and recommendations for, the training and accreditation of healthcare workers in Canada<p>The significant cost of education and healthcare, as well as the current and ongoing national shortage of healthcare professionals, warrants a critical look at the educational training requirements of healthcare workers in Canada. This topic includes reviewing the historical background of training for a variety of healthcare professionals in Western cultures, the common philosophy of education trends for these workers, and the future directions for various professions, focusing specifically on Medical Radiation Technologists in Canada.<p>Methods used <p>The methodology applied to this research is that of critical analysis, utilizing the following critical skills as proposed by philosopher Bertrand Russell: (i) the ability to form an opinion for oneself (tasks of recognizing, listening and questioning), (ii) the ability to find an impartial solution (dealing with biases and detachment for beliefs, judging on merit of issues), and (iii) the ability to identify and question assumptions (emphasis on judgment, critical reflection and constructive rather than destructive doubt)(Hare, 2001, pp8-9). Recommendations regarding pre-service and continuing educational training for Medical Radiation Technologists in Canada will be proposed.<p>Tied to any investigation of healthcare workers is a critical assessment of the healthcare system, as the needs of the community that is served by these professionals must be identified and successfully met. The literature review includes national statistics and summaries of health and lifestyle trends, as well as the trends for the education and training of healthcare workers.<p>Results obtained/Significance of findings<p>Reflective, critical assessment of the training and future trends of healthcare workers reveals that healthcare has undergone two major changes in focus: (1) healthcare as a business and (2) the holistic interdisciplinary trend of patient care.<p>After investigating the trends of health care professionals training, and even though the arguments for degree as entry-to-practice are very strong on many levels, I dont feel that I can conclude that the degree is the only option. If diploma training can adequately provide the basic theory and skills needed, additional skills and training, when required for a particular task, should be, and currently are, made available to the individual.

Long wait times in Canada have led to challenges in accessing timely care. Expanding the scopes of practice of non-physician health professionals may be a solution and has been implemented in Canada and abroad. In 2018, the College of Midwives of Ontario expanded the scope of practice of registered midwives to include obstetric ultrasound imaging. A mixed-methods study was conducted to investigate the interest of midwives in adopting ultrasound imaging in clinical practice and the factors that may influence their interest and support for the professional scope expansion. It investigated midwives’ perceived risks, benefits, enablers and barriers in performing ultrasound imaging and the ultrasound examinations or tasks considered most appropriate for them to do. The data were analyzed using qualitative coding and thematic analysis as well as descriptive statistics and regression analysis. It was found that both interest and support were generally high. The interest was found to be highest for limited examinations and tasks with specific clinical indications. Many believed the practice would improve access to care. There were, however, still many questions around remuneration, training, equipment and concerns around potential liability issues. / Thesis / Master of Health Sciences (MSc)

Thesis (MSc (Health and Wellness Sciences))--Cape Peninsula University of Technology, 2018 / Biomedical Laboratory Technologists play a fundamental role in the diagnosis of disease in patients. Their role in South Africa is currently undergoing profound changes with an emphasis placed on a four-year professional degree that will replace the National Diploma in Biomedical Technology at most Universities of Technology and Comprehensive Universities (UJ and NMU) by 2020. Training and competency programs, along with the retention of experienced staff, remain key in providing accurate laboratory results. It is therefore imperative to investigate this field in factors related to training, work experience and job satisfaction. This study aimed to evaluate the perceptions of Medical Technologists and Medical Technicians with regards to salary, interpersonal relationship, continuing professional development (CPD), work ethic and scope of practice within the profession. A mixed methods study was conducted to evaluate salary, career choice happiness and CPD compliance of Medical Technologists and Medical Technicians, as well as their perceptions around interpersonal relationships, work ethic and scope of practice. In sampling, a convenience sample was identified, after which a snowballing method was used. A link to a web-based survey was distributed to a group of Medical Technologists and Medical Technicians who attended the Society of Medical Laboratory Technology of South Africa (SMLTSA) Medical Laboratory Professionals congress. This congress was held in 2015 in Port Elizabeth, South Africa. A sample of 144 Medical Technicians and Medical Technologists was obtained, of which 98.6% were registered with the Health Professions Council of South Africa (HPCSA). Only 54.2% were active members of the Society of Medical Laboratory Technologist of South Africa. Age (r = 0.674, p < 0.05) and years worked at current employer (r = 0.533, p < 0.05) proved to have stronger relationships with salary than education (r = 0.195, p < 0.05). Those employed in the public sector earned significantly lower salaries than those in any other sector (p < 0.05), with the exception of those working in independent practice. Both Medical Technologists (44.2%) and Medical Technicians (34.4%) perceived that they did not receive the respect they deserved from Pathologists in their working relationship. In addition, 31.3% of Medical Technicians perceived that their roles were regarded as of lesser value, and that their knowledge, training and attained qualifications were not recognised by the Pathologists. Despite this, this study concluded respondents were generally happy with their career choice, as 71.9% of respondents reported. Findings of this study serve as a strong foundation for additional research on the topic of career happiness versus job satisfaction and retention of staff in medical diagnostic laboratories.

Yes / Introduction Over the last 2 decades the assistant radiographer practitioner (ARP) role has been introduced into NHS diagnostic imaging departments as a strategy to expand the workforce and create capacity. This skill mix initiative has not been implemented in a standardised way and there is limited knowledge of the current role scope within general radiography (X-Ray). Method An electronic survey of ARPs working within UK diagnostic imaging departments was conducted. Both open and closed questions sought information regarding basic demographic data (age category; gender; geographic region), scope of practice (patient groups; anatomical regions; imaging outside of the diagnostic imaging department), limitations placed on practice, supervision and additional roles. Results A total of 108 responses, including 13 trainees, were received. Most sites employ three or less ARPs in general radiography (n = 43/66; 65.2%), although 11 sites have five (range 1–15). The majority undertake imaging of both adults and children (n = 85/108; 78.7%), although limitations on age were described. Their scope of practice covers a broad anatomical range and included some non-ambulant patients. The level of supervision varied with some sites empowering ARPs to check the referral prior to examination (n = 25) or images post acquisition (n = 32) (both n = 20/66; χ2 = 16.003; 1df; p = 0.000). Conclusion ARPs are helping to maintain capacity in imaging departments but we suggest there is further scope for expansion. The practice described by the post holders suggests that many are working beyond the scope envisaged by the radiography professional body.

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An examination of leadership and ethics literature demonstrates that, given the theoretical and practical links between the two subjects, they should also be linked within the context of adult post-secondary education. However, very little documented information exists with regard to the ways in which such integration of subject areas is achieved, and there is scant documentation indicating the kinds of pedagogical approaches that are employed for such a purpose. This study examined how the subject areas of leadership and ethics are conceptualized and integrated within the context of undergraduate credit courses at the University of Saskatchewan. The methods used to collect original data for this study were content analysis and qualitative interviews. The data collected in this study demonstrated that the integration of leadership and ethics subject areas is occurring, both implicitly and explicitly, in a variety of undergraduate courses offered through professional colleges at the University of Saskatchewan. The subjects of leadership and ethics are conceptualized in many different ways by course instructors; however, instructors perceive links between the two subject areas and expect their students to demonstrate an understanding of those links. The findings of this study will serve as a program planning resource for instructors who practice, or who wish to practice, the integration of leadership and ethics subject areas in their post-secondary classroom settings. In addition, the researcher concluded with some broad-based recommendations for further study, and suggestions regarding approaches to integration of leadership and ethics education at the University of Saskatchewan.

An examination of leadership and ethics literature demonstrates that, given the theoretical and practical links between the two subjects, they should also be linked within the context of adult post-secondary education. However, very little documented information exists with regard to the ways in which such integration of subject areas is achieved, and there is scant documentation indicating the kinds of pedagogical approaches that are employed for such a purpose. This study examined how the subject areas of leadership and ethics are conceptualized and integrated within the context of undergraduate credit courses at the University of Saskatchewan. The methods used to collect original data for this study were content analysis and qualitative interviews. The data collected in this study demonstrated that the integration of leadership and ethics subject areas is occurring, both implicitly and explicitly, in a variety of undergraduate courses offered through professional colleges at the University of Saskatchewan. The subjects of leadership and ethics are conceptualized in many different ways by course instructors; however, instructors perceive links between the two subject areas and expect their students to demonstrate an understanding of those links. The findings of this study will serve as a program planning resource for instructors who practice, or who wish to practice, the integration of leadership and ethics subject areas in their post-secondary classroom settings. In addition, the researcher concluded with some broad-based recommendations for further study, and suggestions regarding approaches to integration of leadership and ethics education at the University of Saskatchewan.

The role of Certified Registered Nurse Anesthetists (CRNAs) in the delivery of anesthesia care is evolving given the recent recommendations for Institute of Medicine and provisions in the Affordable Care Act. Despite rigorous clinical training and consistent outcomes studies to support quality care given by CRNAs, the scope of practice of nurse anesthetists is frequently limited, and they do not practice to the full extent of their education and training. As health care spending becomes more constrained and demand for anesthesia services rises, the role of nurse anesthetists as more autonomous providers of anesthesia may be required to maintain access to quality care in a cost-conscious environment. Understanding the factors that influence one’s decision to engage in a broad scope of practice may guide training and recruiting practices. Using Bandura’s Self-Efficacy Theory as a framework to conceptualize scope of practice, an internet based survey of a cross-section of practicing CRNAs was conducted. Subjects responded to questions to describe the geography of their practice, experience as a civilian or military CRNA, and detailed clinical training variables. A composite score was created to gauge overall quality of clinical training. Each CRNA then rated their global scope of practice using a novel SOP-VAS, from 0-100. 1409 subjects participated in this study, yielding 1202 usable data sets. CRNAs practicing in rural locations exhibited higher mean SOP scores than those practicing in urban and suburban locations (p<0.001). CRNAs practicing in states that had opted-out of physician supervision had higher mean SOP scores (p<0.001). Years in Practice was positively correlated with SOP (p<0.01), however months on active duty in the military as a CRNA did not show a statistically significant correlation with SOP. Gender and the composite quality score also demonstrated a statistically significant affect on SOP. Regression modeling using significant predictors from prior analyses resulted in predictive model to describe SOP (p<0.001). Use of the novel SOP-VAS was found to be a reliable and valid tool to measure SOP among nurse anesthetists. Further study is warranted to identify additional factors that may contribute to scope of practice among nurse anesthetists.

Minimally invasive aesthetic medicine (MIAM) is a relatively new field, which lacks a clearly defined scope of practice. The purpose of this project was to clarify the scope of practice for nurse practitioners in MIAM in California. Without a clearly defined scope of practice, nurse practitioners are unable to practice to the full extent of their license which causes them to be underutilized and face liability issues. This project sought to answer the question: What is the scope of practice of the nurse practitioner in MIAM in the state of California? The model of professional nursing practice regulation was the model used to guide this project. Sources of evidence included case law that has emerged since 1983; reviewing documents from 3 state boards of nursing; and a survey of nurse practitioners who practice in the field of MIAM. The evidence was analyzed noting themes while determining what the legal backbone is for nurse practitioner's scope of practice in California. This project found that nurse practitioners in this field keep up to date in their knowledge, educate their patients, utilize methods to maintain competency, feel support in their environment, assess and refer to others when appropriate, and teach both staff and patients evidence-based practices. It also found that standardized procedures are the legal backbone to understanding the scope of practice in California. A scope of practice was developed based on the findings of this project which was then reviewed by an expert. It is recommended that nurse practitioners utilize their resources to obtain and maintain knowledge as well as learn what the standardized procedures are in their facility. The implications for clarifying the scope of practice will serve this population to fully utilize their capabilities and practice safely, as well as help to develop this relatively new field.