245 research outputs found

    Trauma-Informed Supervision Experiences: A Preliminary Phenomenological Study

    Get PDF
    Trauma is pervasive in the clinical world of counseling. The current literature indicates adverse effects for survivors of a traumatic event and the counselors listening to the details of traumatic events, but there is a gap in research on the adverse effects trauma in counseling has on supervisors. This study aims to understand the lived experiences of supervisors who have dealt with traumatic experiences in clinical work through interviews with current supervisors of those who work with trauma. The results indicate trauma-informed supervision consists of trauma taking many forms, supervisors (and counselors) using the self in their work, supervisors knowing their stance, and developing a “third eye” as a new way of seeing

    A Method for Designing Conforming Folding Propellers

    Get PDF
    As the aviation vehicle design environment expands due to the in flux of new technologies, new methods of conceptual design and modeling are required in order to meet the customer's needs. In the case of distributed electric propulsion (DEP), the use of high-lift propellers upstream of the wing leading edge augments lift at low speeds enabling smaller wings with sufficient takeoff and landing performance. During cruise, however, these devices would normally contribute significant drag if left in a fixed or windmilling arrangement. Therefore, a design that stows the propeller blades is desirable. In this paper, we present a method for designing folding-blade configurations that conform to the nacelle surface when stowed. These folded designs maintain performance nearly identical to their straight, non-folding blade counterparts

    Interdisciplinary Collaboration Challenges Faced by Counselors in Places Where Professional Counseling is Nascent

    Get PDF
    The counseling profession may be considered well established in some parts of the world; however, in most countries it remains non-existent or a nascent profession. For the internationalization of counseling to take place, leading to establishment and advancement, the counseling profession needs to engage in interdisciplinary collaboration. Such a process enables a meaningful inclusion of counselors in professional spaces to allow them to meet the socio-emotional needs of clients and communities. In this article, the authors examine the challenges and barriers counselors experience when participating in interdisciplinary professional environments, specifically in places where the counseling profession is a nascent field. We also recommend strategies for counselor educators, supervisors, trainees, practitioners, and professional organization leaders to employ in efforts to address and overcome some of the challenges and barriers and advocate for the inclusion of counselors as valued members in interdisciplinary settings

    Facilitators and barriers to co-research by people with dementia and academic researchers: findings from a qualitative study

    Get PDF
    Background Public and patient involvement (PPI) is now established in dementia research. Barriers and facilitators to engagement from family carers and people in early stages of dementia have been explored. However, specific barriers and facilitators to co‐research with people with dementia have not previously been investigated. Objective To discover the facilitators of, and barriers to, involving people with dementia as co‐researchers, from the perspectives of people with dementia, gatekeepers (family caregivers, ethics committee members, service providers) and researchers. Design Thematic analysis of data from individual interviews about the co‐research experience. Results Four themes emerged from interviews with 19 participants (five people with dementia): “getting one's head round it” (assumptions about research and dementia; different forms of language); practicalities (eg transport; accessibility of communication); “this feeling of safety” (perceptions of danger, protectiveness and opportunities for building trust); and motivations (“making a difference” and “keeping doing”). Conclusions Findings both replicate and extend previous knowledge on PPI in dementia. Cognitive capacity of potential co‐researchers with dementia is only a part of the picture, with attitudes and expectations of researchers, gatekeepers and people with dementia also forming barriers. Researcher education, adequate resourcing, and both creativity and flexibility are needed to support recruitment of co‐researchers with dementia and to enable meaningful co‐research

    Maintaining independence in individuals with dementia at home after a fall: a protocol for the UK pilot cluster randomised controlled trial MAINTAIN

    Get PDF
    \ua9 Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.Introduction Individuals with dementia face an increased risk of falls. Falls can cause a decline in the individual\u27s overall functionality. All types of falls, including those that do not result in injury, can lead to psychosocial consequences, such as diminished confidence and a fear of falling. Projections indicate a rising trend in dementia diagnoses, implying an increase in fall incidents. Yet, there is a lack of evidence to support interventions for people living with dementia who have fallen. Our objective is to test the feasibility of a falls intervention trial for people with dementia. Method and analysis This is a UK-based two-arm pilot cluster randomised controlled trial. In this study, six collaborating sites, which form the clusters, will be randomly allocated to either the intervention arm or the control arm (receiving treatment as usual) at a 1:1 ratio. During the 6 month recruitment phase, each cluster will enrol 10 dyads, comprising 10 individuals with dementia and their respective carers, leading to a total sample size of 60 dyads. The primary outcomes are the feasibility parameters for a full trial (ie, percentage consented, follow-up rate and cost framework). Secondary outcomes include activities of daily living, quality of life, fall efficacy, mobility, goal attainment, cognitive status, occurrence of falls, carer burden and healthcare service utilisation. Outcome measures will be collected at baseline and 28 weeks, with an additional assessment scheduled at 12 weeks for the healthcare service utilisation questionnaire. An embedded process evaluation, consisting of interviews and observations with participants and healthcare professionals, will explore how the intervention operates and the fidelity of study processes. Ethics and dissemination The study was approved by the NHS and local authority research governance and research ethics committees (NHS REC reference: 23/WA/0126). The results will be shared at meetings and conferences and will be published in peer-reviewed journals. Trial registration number ISRCTN16413728
    corecore