Exploring the Attitudes Toward Interprofessional Practice: Eastern North Carolina Perspectives

Interprofessional health care delivery has the potential to greatly impact the experience, costs, and outcomes of health care. Primary care providers have the capacity to be the tipping point of this change. Primary care providers’ attitudes toward interprofessional care may bolster or impede implementation of the concept. The purpose of this study was to ascertain the attitudes toward interprofessional practice as self-reported by primary care providers in eastern North Carolina (NC). The Attitudes Toward Health Care Teams Scale (ATHCTS), a validated 21-item scale, was used to explore providers’ attitudes toward intentional team-based collaborative practice within a large health system in eastern NC. Providers included physicians, physicians’ assistants and nurse practitioners. Cronbach’s alpha for the 21-item scale was calculated at .877. A Kruskal-Wallis test was used to examine a between groups analysis of the mean scores, finding no significant difference between the mean scores of the three professional groups. The findings of the nonparametric, cross-observational, quantitative study are discussed in this report. Further exploration of the attitudes of larger numbers of primary care providers is indicated.D.N.P

The World Food Problem

The problem of obtaining sufficient food has plagued man since his be­ginning. Despite many advances in science and technology during the 20th century, the problem is still acute to­day

Reducing the Cost of Free Expression: A Call for Fee Shifting in Cases Challenging Freedom of Expression

Those who offer information or express ideas, whether in book, essay, film, or music, and those who distribute or sell the vehicles for such expression have sometimes been sued by individuals claiming physical or emotional injury allegedly flowing from such expression. Suits have included claims that reliance on factual or quasi-factual representations in expressive or informative works resulted in injury to the plaintiff, as well as claims that such works influenced the conduct of third parties who in turn inflicted injury on the plaintiff. While those faced with such claims routinely prevail, the costs of so doing can be substantial. The prospect of such costs inevitably chills speakers\u27 enthusiasm to share their knowledge and views, and consequently renders us all somewhat poorer. This Article proposes legislation to address that problem by allowing for the early challenge to such suits and by shifting defense costs and attorney fees to the plaintiff when such an early challenge is successful

Instructions for Uploading to The ScholarShip

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AN EXAMINATION OF RETURN TO PLAY CRITERIA FOR KNEE STRENGTH 1Nl EXPERIENCED SOCCER PLAYERS

Clinicians often use isokinetic strength exercises in the rehabilitation of lower extremity injuries. Isokinetic testing scores are often used as criterion to determine the progression within a rehabilitation protocol as well as the suitability of the patient to return to sport participation. For example, Shelbourne, Klootwyk, and De Carlo (1995) suggested that once the anterior cruciate ligament (ACL) reconstructed extremity achieves 70% of the strength of the uninjured leg, the patient is allowed to engage in sport-specific activities and begin the progression toward competitive participation. A criterion like this would be a valid standard assuming no strength differences exist between limbs. Few bilateral differences in lower extremity strength exist in most sedentary individuals or athletes participating in bilaterally symmetrical lower extremity activities. However, soccer players usually have tendencies to use one leg more than the other for dribbling, shooting and performing long kicks. As a result, soccer can be characterized as an asymmetrical lower extremity activity. If bilateral strength differences exist, then appropriate adjustments should be made for return to activity standards. This study examined whether differences existed in isokinetic knee f1exion and extension strength between the dominant and non-dominant legs in experienced soccer players

Title IX and the Cleary Act: What Counselor Educators Must Know

Because of the far-reaching legal, monetary, academic, and public relations ramifications of the sex abuse scandal at Pennsylvania State University, campus administrators are reviewing and more strictly enforcing the mandatory reporting requirements of Title IX of the 1972 Education Amendments and the Clery Act related to sexual harassment and sexual violence. This creates challenges in didactic and clinical coursework for counselor educators who must balance adhering to university reporting guidelines with the ethical responsibilities to provide informed consent and maintain confidentially of information disclosed by students and their clients during training. Issues involved for counselor educators and student counselors-in-training, the process of securing appropriate exceptions to mandatory reporting, and a sample exception policy are presented

Addiction Counseling Practice Competencies and Curriculum in CACREP-Accredited Programs

Addiction counseling is a growing field with emerging practice competencies and standards that have implications for counselor education programs. This study examined addiction counseling practice competencies and curriculum elements in CACREP-accredited programs to determine curriculum and program needs. A survey of 62 CACREP programs found that programs are including addiction counseling content into the curriculum, employing faculty who have experience in addiction counseling, and addressing the skill practice competency by adding increased credit hours in addiction counseling and teaching from a didactic and constructivist pedagogy. Recommendations are made to align addiction counseling training curriculum, including adding an addiction counseling specialization track that incorporates practice experiences