Shaping up for success:a qualitative case study on the impact of using interactive radar graphs on workplace-based assessment practices for pharmacy interns in Ireland

As competency-based health professions education is implemented more widely, the use of workplace-based assessment (WBA) has increased. WBA involves assessment of trainees in the workplace based on observation of performance against structured competency frameworks or using specific WBA tools. In Ireland, pharmacy interns are assessed against a 178-item behavioural checklist by a tutor as part of formative and summative assessments during training. This leads to the generation of large numbers of ratings which may prove challenging to interpret. This thesis aimed to explore how a novel information visualisation tool (Visualisation Tool) designed to support this process and explore how its introduction could impact on WBA practice. An activity theory-based methodology approach was used to first consider current WBA practice (using document analysis and focus groups) before exploring the potential of the Visualisation Tool to influence practice (using a double-stimulation user testing method). The findings indicated that current WBA practice is unexpectedly complex and many challenges were identified. Participants used technology to enter and record ratings, to review ratings, and as a point of reference during review meetings. Using the visualisation addressed problems relating to reductionism, allowed participants to more readily interpret the data, and allowed time in the review meeting to be used more efficiently so that the intern and tutor could prioritise discussion of specific areas of concern. The activity theory-based study design facilitated an in-depth analysis of the role of technology in practice. This study highlighted that technology is one of several, interrelated tools used in WBA and that while technology-based innovations may address some specific issues, a broader, system-level approach is required to address all issues identified as arising in WBA . These issues should be considered in the context of the overall WBA practice rather than in isolation, and researchers should avoid overestimating participants’ estimation of the role of technology

Activity Theory in empirical higher education research:choices, uses, and values

This paper contributes to discussion of theory-application in higher education research. We examine 59 empirical research papers from specialist journals that use a particular theory: activity theory. We scrutinise stated reasons for choosing the theory, functions played by the theory, and how the theory is valorised. We find that the theory is usually chosen for its direct empirical applicability; used for abstraction, explanation and contextualisation; and valorised for apprehending complex situational dynamics. It is rarely chosen to challenge conceptualisation of the research object; used to establish investigative paradigms; or valorised in ways that implicate wider bodies of knowledge or potential theory development. We argue that higher education researchers should reconsider how their application of activity theory is interwoven with interpretative processes, how the theory might frame research design rather than simply data analysis, and how they account for the range of roles that the theory actually plays across research endeavours

Exploring The Role of Peer Observation of Teaching in Facilitating Cross-Institutional Professional Conversations About Teaching and Learning

This paper explores how cross-institutional Peer Observation of Teaching (PoT) provided a structured opportunity for professional conversations by which observers and observees shared and developed their perspectives on teaching experience and skills. Such professional conversations offer opportunities for both parties to gain a perspective on practices that may have been taken for granted. Participants from three Higher Education institutions engaged in cross-disciplinary and cross-institutional PoT, followed by facilitated reflective conversations. This paper captures the factors for success that enabled continuing conversations on teaching and learning and highlights the value of supporting such conversations outside formal, uni-institutional peer observation programmes

Expanding Mental Health Consultation in Early Head Start: Recommendations for Supporting Home Visitors in Increasing Parental Engagement

Early Head Start strongly emphasizes the importance of intervening with the entire family to promote healthy child development. Parents, in particular, are recognized as their child’s most important teacher. While Early Head Start performance standards currently mandate mental health consultation to identify and intervene with child mental health problems, there is little direct focus on the role of consultation in managing parental mental health concerns. This is problematic given that a wide body of literature outlines the impact of parental mental health on engagement in home-based programs such as Early Head Start. Investigations within the home visiting field have also shown persistent requests from staff for further support in addressing these barriers to engagement. Mental health professionals can be instrumental in providing support and education to home visitors dealing with parental mental health concerns, although formal guidelines are generally silent on best practices for establishing and maintaining effective consultation relationships. This Dialog from the Field discusses the issues posed to family engagement by parent-related problems such as mental illness. Synthesizing experience from consultation provided to an Early Head Start program with research from the field, we present a model expanding mental health consultation to address parent and family concerns

Balancing assessment with “In-Service Practical Training”: A case report on collaborative curriculum design for delivery in the practice setting

Three Higher Education Institutions (HEIs) in Ireland are accredited to provide education and training, successful completion of which, entitles one to register as a pharmacist with the Pharmaceutical Society of Ireland (PSI). Legislation (2014) mandated that these HEIs replace their existing structure (four-year degree followed by a one-year internship), with a five-year ‘integrated Master’s programme’. Integration includes ‘in-service practical training’ (placement) at the beginning of Year 4 (four months), and the end of Year 5 (eight months). Year 4 placements do not have to be ‘patient-facing’. Students receive a Bachelor’s degree at the end of Year 4. The Affiliation for Pharmacy Practice Experiential Learning (APPEL), established by the HEIs, manages student placements, training establishments, preceptor training, the preceptors’ competency assessment process, and the virtual learning environment (VLE) that enables delivery of co-developed online modules aligned with placements in Years 4 and 5. This case report aims to describe the process by which this integration has taken place across and within these HEIs and the challenges faced by educators, students, preceptors, and other stakeholders along the way

Social Media and Cardiovascular Disease

Personality subtypes and systolic blood pressure (SBP) at night are recognized predictors of cardiovascular disease among social media users. Healthy individuals (n=88, 77% female, 31% African American) were surveyed using the Media and Technology Usage and Attitudes Scale (MTUAS). Demographics, 24-hours SBP, and personality types (e.g., introvert, extravert, and blended) were used. Personality (B= 5.37, t= 2.86, p=.005) significantly predicted elevated SBP in social media users (r2= .157, F(4, 72)=3.37, p=.014). There was a significant gradient increase in nighttime SBP by personality [introvert (M=100, SD=2.1), extrovert (M=102, SD=1.7), and blended (M=111, SD=4.4); all ps.<0.05]. Negative attitudes toward using technology (B= -5.093, t= -2.390, p= .019) also significantly predicted elevated overnight SBP. Higher anxiety/dependence with mobile phones (B=.400, t= 2.49, p=.019) significantly predicted elevated nighttime SBP [r2 = 0.342 F(4, 27) = 3.505, p=.020]. Our findings indicate that a blended personality type and anxiety due to separation from or dependence on a mobile phone or internet use elevate SBP at night, increasing the risk of developing cardiovascular disease

Eligibility rates and representativeness of the General Medical Services scheme population in Ireland 2017-2021: A methodological report [version 1; peer review: 2 approved]

Background: In Ireland, the means tested General Medical Services (GMS) scheme provides access to a range of healthcare services at no or low cost to approximately one third of the population. Individuals eligible for the GMS scheme are often a focus of research, as a population that account for a large proportion of healthcare services use. The aim of this study is to describe the eligibility rates and representativeness of the GMS scheme population over time, with respect to age group, sex, and geographical area in Ireland. Methods: Population data was obtained from the Central Statistics Office (CSO), using 2016 Census figures and projected population figures for 2017-2021. GMS eligibility figures for 2016-2021 were obtained from the HSE Primary Care Reimbursement Service (PCRS). GMS eligibility rates and relative rates of eligibility were calculated for 2016-2021 by age group and sex. Additionally, 2016 eligibility rates were calculated by geographical area. Results: The crude eligibility rate decreased from 36.4% in 2016 to 31.2% in 2020, with a slight increase to 31.6% in 2021. In the 75+ years age group, 78.2% of the total population were eligible for the GMS scheme in 2021. The age group with the lowest rate of eligible individuals was the 25-34 age group, with 19.5% eligible in 2021. The eligibility rate was higher among females compared to males throughout the study period. The highest eligibility rate was seen in Donegal, with a crude rate of 52.8%. Dublin had the lowest rate, with a crude rate of 29.3%. Conclusions: GMS eligibility varies greatly depending on age, sex, and geographical area, and decreased between 2016 and 2021. This study uses the most up-to-date data available to provide age group, sex and area-based figures for GMS eligibility which may inform planning and conduct of research focusing on GMS-eligible individuals

Protocol for the implementation and evaluation of a community-based intervention seeking to reduce dietary salt intake in Lithgow, Australia

Excess dietary salt is a leading risk for health. Multiple health, government, industry and community organisations have identified the need to reduce consumption of dietary salt. This project seeks to implement and evaluate a community-based salt reduction intervention

Miniaturization optimized weapon killing power during the social stress of late pre-contact North America (AD 600-1600)

Before Europeans arrived to Eastern North America, prehistoric, indigenous peoples experienced a number of changes that culminated in the development of sedentary, maize agricultural lifeways of varying complexity. Inherent to these lifeways were several triggers of social stress including population nucleation and increase, intergroup conflict (warfare), and increased territoriality. Here, we examine whether this period of social stress co-varied with deadlier weaponry, specifically, the design of the most commonly found prehistoric archery component in late pre-contact North America: triangular stone arrow tips (TSAT). The examination of modern metal or carbon projectiles, arrows, and arrowheads has demonstrated that smaller arrow tips penetrate deeper into a target than do larger ones. We first experimentally confirm that this relationship applies to arrow tips made from stone hafted onto shafts made from wood. We then statistically assess a large sample (n = 742) of late pre-contact TSAT and show that these specimens are extraordinarily small. Thus, by miniaturizing their arrow tips, prehistoric people in Eastern North America optimized their projectile weaponry for maximum penetration and killing power in warfare and hunting. Finally, we verify that these functional advantages were selected across environmental and cultural boundaries. Thus, while we cannot and should not rule out stochastic, production economizing, or non-adaptive cultural processes as an explanation for TSAT, overall our results are consistent with the hypothesis that broad, socially stressful demographic changes in late pre-contact Eastern North America resulted in the miniaturization–and augmented lethality–of stone tools across the region

Illawarra Born cross-generational health study: feasibility of a multi-generational birth cohort study

Background: There is a strong interest in the concept of developmental origins of health and disease and their influence on various factors from cradle to grave . Despite the increasing appreciation of this lifelong legacy across the human life course, many gaps remain in the scientific understanding of mechanisms influencing these formative phases. Cross-generational susceptibility to health problems is emerging as a focus of research in the context of birth cohort studies. The primary aim of the Illawarra Born study is to make scientific discoveries associated with improving health and wellbeing across the lifespan, with a particular focus on preventable chronic diseases, especially mental health. This birth cohort study will follow and collect data from three cohorts representing different stages across the lifespan: infants, adults (parents) and older adults (grandparents). The multi-generational, cross-sectional and longitudinal design of this birth cohort study supports a focus on the contributions of genetics, environment and lifestyle on health and wellbeing. The feasibility of conducting a multi-generational longitudinal birth cohort project was conducted through a small pilot study. Methods/design: The purpose of this paper is to report on the feasibility and acceptability of the research protocol for a collaborative cross-generation health study in the community and test recruitment and outcome measures for the main study. This feasibility study included pregnant women who were intending to give birth in the Illawarra-Shoalhaven region in Eastern Australia. The area includes a large, regional referral hospital, with capacity to treat specialist and complex cases. Pregnant women were asked to participate in five data collection waves beginning at 22 weeks gestation and ending with a 6-month post-partum appointment. Recruitment was then extended, via the pregnant women, to also include fathers and maternal grandmothers. Discussion: This feasibility study focused on the perinatal period and collected data across three multi-disciplinary domains including mental health, diet, exposures to toxins and the role of these in maternal and infant outcomes. Forty-one families participated in extensive data collection from 22 weeks gestation to 6-months post-partum. Factors impacting on viability and feasibility including recruitment solutions provide the basis for a large-scale study