1,348 research outputs found

    Why does Matter Matter?

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    Understanding patient choices for attending sexually transmitted infection testing services: a qualitative study

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    Objectives: To establish which aspects of sexually transmitted infection (STI) testing services are important to STI testing service users. Methods: 10 focus groups consisting of previous or existing users of STI testing services were conducted in community settings in the south east of England. Groups were quota sampled based on age, gender and sexual orientation. Data were analysed using Framework Analysis. Results: 65 respondents (58% men) participated. Perceived expertise of staff was the key reason for attendance at genitourinary medicine services rather than general practice. Although some respondents voiced a willingness to test for STIs within general practice, the apparent limited range of tests available in general practice and the perceived lack of expertise around sexual health appeared to discourage attendance at general practice. The decision of where to test for STIs was also influenced by past experience of testing, existing relationships with general practice, method of receiving test results and whether the patient had other medical conditions such as HIV. Conclusions: No one type of STI testing service is suitable for all patients. This is recognised by policymakers, and it now requires commissioners and providers to make services outside of genitourinary medicine clinics more acceptable and attractive to patients, in particular to address the perceived lack of expertise and limited range of STIs tests available at alternative testing sites

    Learning from Each Other: Peer-Reviewed Literature Searching

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    Background: Amidst shrinking staffing levels and expanding business, a health system library department developed a peer-learning program in order to build literature search capacity and self-efficacy amongst librarians and library support staff.Description: Library staff are partnered and rotate monthly; pairs include those in same and different job roles and experience levels. Staff are encouraged to choose real patron clinical questions that would serve as optimal learning opportunities, reinforcing best practices in search strategy and/or database functionality or ones that are particularly challenging. Partners independently perform the other’s search then meet virtually to compare results, strategies, and debrief on lessons learned.After a search for validated tools measuring library staff search self-efficacy turned up no appropriate tools, a brief survey was created based on feedback from senior librarians. REDCap was used to conduct a pre-survey of brief impressions on search self-efficacy and comfort with reaching out to colleagues for support when faced with a difficult search. A post-survey will be done at 6 and 12 months, as well as solicitation of candid feedback.Conclusion: We expect to measure an increase in search self-efficacy and comfort in asking colleagues for assistance at both 6 and 12 months. We hope to use staff’s candid feedback to inform and develop our peer-review program for continued use.Initial response to the program has been positive. While some staff indicated feelings of nervousness or lack of confidence going into the first debrief, most have expressed that they found the exercise useful and noted that it gave them a welcome opportunity to connect with geographically disparate colleagues they might not have otherwise

    Assessing user preferences for sexually transmitted infection testing services: a discrete choice experiment

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    Objective: To assess user preferences for different aspects of sexually transmitted infection (STI) testing services. Design: A discrete choice experiment. Setting: 14 centres offering tests for STIs in East Sussex, England. Participants: People testing for STIs. Main outcome measure: (Adjusted) ORs in relation to preferred service characteristics. Results: 3358 questionnaires were returned; mean age 26 (SD 9.4) years. 70% (2366) were recruited from genitourinary medicine (GUM) clinics. The analysis suggested that the most important characteristics to users were whether 'staff had specialist STI knowledge' compared with 'staff without it' (OR 2.55; 95% CI 2.47 to 2.63) and whether 'tests for all STIs' were offered rather than 'some' (OR 2.19; 95% CI 2.12 to 2.25). They remained the most important two service characteristics despite stratifying the analysis by variables such as age and sex. Staff levels of expertise were viewed as particularly important by people attending CASH centres, women and non-men who have sex with men. A 'text or call to a mobile phone' and 'dropping in and waiting' were generally the preferred methods of results reporting and appointment system, respectively. Conclusions: This study suggests that people testing for STIs place particular importance on testing for all infections rather than some and staff with specialist STI knowledge. Thus, targets based purely on waiting up to 48 h for an appointment are misguided from a user perspectiv

    Clinical Support: An Unconventional Request – Providence’s 100 Million Masks Initiative

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    In early March, Seattle, WA, was the epicenter of the US COVID-19 pandemic. Providence St. Joseph Health had seen the first reported US case of COVID-19 on January 20 [1] and quickly found itself responding to a growing crisis, with little information about how best to care for patients while protecting frontline staff. On March 16, 2020, Providence System Library Services received an email from senior leadership with the subject line: “Urgent – An Unconventional Request.” We were asked to pause all other work to search for viable mask patterns that could be easily and quickly made at home by volunteers and to develop mock-ups of the best patterns

    Hearts on Our Sleeves: Emotions Experienced by Service-Learning Faculty

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    Compared to more traditional pedagogical approaches, service-learning has been shown to offer unique experiences for students and faculty. With the growth of service-learning within higher education, it has become increasingly important to understand service-learning faculty, namely faculty emotions, which can impact students in many ways. Utilizing ecological momentary assessment (EMA) and focus groups, the study discussed in this article assessed the emotions of 17 service-learning faculty with varying levels of experience over the course of one semester. Results revealed that service-learning faculty experience a number of emotional highs and lows related to class logistics, community partners, and student engagement. Additionally, more experienced service-learning faculty handled their emotions differently than newer faculty. The authors also highlight implications and opportunities for service-learning faculty and administrators, based on the study results
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