Engineers’ perceptions of the importance of empathy and care: initial insights from engineers practicing in Australia

Empathy and care influence aspects of engineering practice including collaboration and teamwork, stakeholder engagement, and quality of work. Empathy has been identified as a key employability skill for professionals, and is the foundation for many skills and attributes anticipated as required by future engineers. Therefore, the understanding of empathy and care, and consideration of the development of empathetic and caring competencies are increasingly relevant for engineering education. Recent studies have explored the conceptualisation of and value placed on empathy and care in engineering practice, from the perspectives of practicing engineers in US and German contexts. We broaden this to include the Australian setting. Engineers’ perceptions of empathy and care within Australian engineering practice were collected using an online version of the Empathy and Care Questionnaire (ECQ) instrument developed by Hess, Strobel, Pan and Wachter Morris (N = 183). Statistical analysis of survey questions relating to the perceived importance and benefits of empathy and care to engineers, and relevance within a range of engineering practice situations was undertaken. Analysis of gender, years of experience, and organisational role indicated that female engineers perceived empathy and care to be more important, and more impactful on engineering practice than male engineers. Perceptions of empathy and care did not vary with duration of engineering work experience, however engineers in positions of organisational leadership placed greater importance on empathy and care in their roles than others. These differences contrast with results of the US and German studies. Further analysis is required to understand where, when and why these differences occur

Barrier-free tourism in the natural environment for people with physical disabilities with specific reference to Eastern Cape facilities

Social workers are becoming increasingly involved in community projects, thus allowing them to reach more people. One of these areas involves the sensitising of society in the removal of barriers which prevent people with disabilities from living balanced and integrated lives. One aspect requiring particular attention is the natural environment which, until recently, has been neglected. In order to increase the knowledge of the researcher in the field of environmental accessibility, twenty six people with physical disabilities were interviewed to ascertain which factors they saw as important and relevant when assessing the natural environment. Their ideas were incorporated into practical assessments of a game reserve and a possible hiking trail for people with disabilities. As it is of vital importance to include the consumers in studies of this nature, selected people with varying abilities and disabilities assisted in these "hands on" studies. Qualitative interviews were also conducted on the owners of facilities who were in the process of making their facilities accessible. This allowed the researcher and selected people with disabilities to evaluate positive and negative experiences, thus adding to their knowledge base and building capacity for people with disabilitie

Consumer experiences of Chronic Obstructive Pulmonary Disease in regional Australia: A mixed methods study and logic model to identify consumer-experience mechanisms to avoid hospital and enhance outcomes

The objective of this study to explore consumer experiences of their care for Chronic Obstructive Pulmonary Disease (COPD) in a regional Australian hospital and to ascertain consumer identified contexts and mechanisms that can enhance consumer-experience outcomes. A sequential, explanatory mixed methods design was employed including a retrospective audit of COPD admissions and re-admissions and semi-structured interviews with a sample of consumers (n=12). Themes were synthesised using a realist framework and the Expanded Chronic Care Model to develop a logic model. Audit data identified above national average hospital admission rates and length of stay for treatment of COPD. Interview data revealed three key themes namely contexts of care, mechanisms for providing care, and outcomes of care. A logic model was constructed to highlight the necessary contexts and consumer-identified mechanisms that can be enacted to achieve consumer-valued outcomes. The model outlined factors at individual, provider and system levels in a regional and rural setting including interaction and relationships with health care providers; consumer capability; workforce; care pathway; capacity to offer services and support; and continuity of care. This research identifies that positive and continuous relationships are one of the most important consumer-identified mechanisms for influencing COPD consumer experience of their care and capacity to self-manage to stay out of hospital. This research challenges regional and rural health services to harness relationships and connectedness to improve consumer experiences and the impact of care for COPD consumers. The logic model provides a template to assist health services to rise to this challenge. Experience Framework This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (http://bit.ly/ExperienceFramework) Access other PXJ articles related to this lens. Access other resources related to this lens

Cooperation between somatic Ikaros and Notch1 mutations at the inception of T-ALL

To understand the interactions between Notch1 and Ikaros in the evolution of T cell acute lymphoblastic leukemia (T-ALL), we traced the evolution of T-ALL in mice with an inherited Ikaros mutation, Ikzf1Plstc which inactivates DNA binding. DNA-binding Ikaros repressed Notch1 response in transfected cell lines and in CD4+8+ (DP) thymocytes from young pre-leukemic Ikzf1Plstc heterozygous mice. In DP thymocytes, a 50-1000 fold escalation in mRNA for Notch1 target genes Hes1 and Dtx1 preceded thymic lymphoma or leukemia and was closely correlated with the first detectable differentiation abnormalities loss of heterozygosity (LOH) eliminating wild-type Ikzf1, and multiple missense and truncating Notch1 mutations. These findings illuminate the early stages of leukemogenesis by demonstrating progressive exaggeration of Notch1 responsiveness at the DP thymocyte stage brought about by multiple mutations acting in concert upon the Notch1 pathwa

Developing a caseload classification tool for community nursing

Acuity and dependency in the community nursing caseload in combination with safe staffing levels are a national issue of concern. Current evidence suggests that there are no clear approaches to determining staff capacity and skill mix in these community settings. As community nursing caseloads are large with differing complexities, there is a need to allocate community nursing with the best skill mix to achieve the best patient outcomes. A city-wide service improvement initiative developed a tool to classify and categorise patient demand and this was linked to an electronic patient record system. The aim was to formulate an effective management response to different levels of acuity and dependency within community nursing teams and a consensus approach was used to allow the definition of complexity for twelve packages of care. The tool was piloted by a group of community nurses to assess the validity as a method to achieve a caseload classification. Seventy nurses were trained and applied the tool to 3000 patient referrals. Based on this, standards of care were agreed including expectations of assessment, intervention, visit length and frequency. Community nursing caseloads can now be organised according to acuity and complexity of patient need, which determines allocation of staff and skill mix

Gender, race, faith and economics: factors impacting on aspirant school leaders

This paper explores factors inhibiting or encouraging women and men from Black and Minority ethnic (BME) and also white backgrounds to pursue leadership positions in English schools. Data are drawn from a commissioned evaluation of three National College of Teaching and Leadership (NCTL) funded courses which investigated the extent to which the 33 participants felt their course successfully prepared them to take on a leadership role. Findings showed that while the all white primary aspirant head teachers and most of the all white women into secondary headship gained confidence and felt more competent as their courses progressed their desire to become leaders, in some cases, reduced. The opposite was the case for the all BME middle leaders participants most of whom cited, along with increased confidence and perceived competence, an increased desire to become middle leaders, despite some accounts of prejudicial treatment. Factors cited by participants as impacting negatively on their desire to become leaders included work-life balance, accountability, faith, economic factors (size of school, travel costs) and issues concerning gender, particularly women participants, who saw themselves as leaders both at work and in the home. Findings provide an insight into the continuing structural inequalities experienced by a small sample of aspirant school leaders which have implications for future leadership preparation provision

Linkage analysis of cross-sectional and longitudinally derived phenotypic measures to identify loci influencing blood pressure

BACKGROUND: The design of appropriate strategies to analyze and interpret linkage results for complex human diseases constitutes a challenge. Parameters such as power, definition of phenotype, and replicability have to be taken into account in order to reach meaningful conclusions. Incorporating data on repeated phenotypic measures may increase the power to detect linkage but requires sophisticated analysis methods. Using the simulated Genetic Analysis Workshop 13 data set, we have estimated a variety of systolic blood pressure (SBP) phenotypic measures and examined their performance with respect to consistency among replicates and to true and false positive linkage signals. RESULTS: The whole-genome scan conducted on a dichotomous hypertension phenotype indicated the involvement of few true loci with nominal significance and gave rise to a high rate of false positives. Analysis of a cross-sectional quantitative SBP measure performed better, although genome-wide significance was again not reached. Additional phenotypic measures were derived from the longitudinal data using random effects modelling for censored data with varying levels of covariate adjustment. These models provided evidence for significant linkage to most genes influencing SBP and produced few false positive results. Overall, replicability of results was poor for loci, representing weak effects. CONCLUSION: Longitudinally derived phenotypes performed better than cross-sectional measures in linkage analyses. Bearing in mind the sample design and size of these data, linkage results that fail to replicate should not be dismissed; instead, different lines of evidence derived from complementary analysis methods should be combined to prioritize follow up

Challenges in assessing the characteristics of influential public health research.

The development of frameworks to effectively measure both the scientific and social impact of research is a topic of international debate. This paper examines how Australian public health researchers in six fields (alcohol, drugs, injury, obesity, skin cancer and tobacco) classified the scientific and social impact of what they judged to be their five most influential papers. We compared classifications of researchers rated as most influential by their peers with those not as highly ranked. Highly ranked researchers more often indicated social impact characteristics (Χ2 = 8.13; P = 0.004) than their less influential colleagues. Traditional measures of scientific impact (publication in high impact journals and high citations) were nominated by all researchers regardless of peer-nominated research influence status. There was strong consensus on who were the most influential researchers in five of the six research fields examined. This would appear to provide a sound platform on which to base more qualitative, interview or portfolio-based investigations into the complexities of wider conceptions of research and researcher influence

A mixed methods study of the factors that influence whether intervention research has policy and practice impacts: perceptions of Australian researchers

Objectives: To investigate researchers’ perceptions about the factors that influenced the policy and practice impacts (or lack of impact) of one of their own funded intervention research studies. Design: Mixed method, cross-sectional study. Setting: Intervention research conducted in Australia and funded by Australia’s National Health and Medical Research Council between 2003 and 2007. Participants: The chief investigators from 50 funded intervention research studies were interviewed to determine if their study had achieved policy and practice impacts, how and why these impacts had (or had not) occurred and the approach to dissemination they had employed. Results: We found that statistically significant intervention effects and publication of results influenced whether there were policy and practice impacts, along with factors related to the nature of the intervention itself, the researchers’ experience and connections, their dissemination and translation efforts, and the postresearch context. Conclusions: This study indicates that sophisticated approaches to intervention development, dissemination actions and translational efforts are actually widespread among experienced researches, and can achieve policy and practice impacts. However, it was the links between the intervention results, further dissemination actions by researchers and a variety of postresearch contextual factors that ultimately determined whether a study had policy and practice impacts. Given the complicated interplay between the various factors, there appears to be no simple formula for determining which intervention studies should be funded in order to achieve optimal policy and practice impacts