Demands and Rewards of Working Within Multidisciplinary Teams in Pediatric Oncology: The Experiences of Canadian Health Care Providers

Pediatric oncology care in Canada is delivered by multidisciplinary teams consisting of healthcare providers with different areas of expertise. Limited information is available on how the multidisciplinary team influences jobrelated rewards, demands, and stress in pediatric oncology. A qualitative approach was adopted to learn about healthcare providers’ experiences of working within a multidisciplinary team in pediatric oncology. Qualitative interviews were conducted with 33 healthcare providers (13 oncologists, 9 nurses, 5 social workers, and 6 child-life specialists) from four pediatric oncology centres. Topics explored included: demands and rewards associated with how the multidisciplinary team worked; description of one’s area of expertise; and healthcare provider’s responsibilities. Thematic analysis was used to identify sources of demands and rewards of working in a multidisciplinary team. Healthcare providers described rewards of working within a multidisciplinary team in three areas: sharing expertise and collaboration; giving and receiving social and emotional support; and being valued by and valuing team members. Healthcare providers discussed demands of working within a multidisciplinary team in four areas: interpersonal and communication tensions; conflicting views about providing care; role confusion, overlap and being undervalued; and hospital environment. These findings may inform interventions that alleviate healthcare provider stress and promote strategies that lead to greater job satisfaction

Canopy Characteristics Affecting Avian Reproductive Success: The Golden-cheeked Warbler

Habitat disturbances play a major role in wildlife distribution. Disturbances such as loss of breeding habitat and fragmentation are of particular concern for Neotropical migrant songbird populations. Additionally, different avian species respond differently to the surrounding environment at different spatial scales. Thus, multi-scale studies on bird abundance and reproductive success is necessary for evaluating the effects of habitat alterations. The golden-cheeked warbler (Dendroica chrysoparia) is a Neotropical migrant songbird that breeds exclusively in central Texas. In 1990, the U.S. Fish and Wildlife Service listed the golden-cheeked warbler as endangered, providing habitat loss among the list of justifications. Habitat requirements for this species are known to include mature juniper-oak (Juniperus-Quercus) woodlands; however, relationships between habitat characteristics and golden-cheeked warbler reproductive success remain unclear. Whereas the majority of golden-cheeked warbler research has focused on areas in the center of the breeding range, little is known about interactions between warblers and the environment at the edge of the range. Therefore, it is important to understand these relationships for successful golden-cheeked warbler management. I investigated relationships between golden-cheeked warbler reproductive success and habitat characteristics, including canopy closure and tree species composition, at the study site and territory scale. My study took place within Kickapoo Cavern State Park and surrounding private properties in Kinney and Edwards counties in the southwest corner of the golden-cheeked warbler breeding range. I derived habitat characteristics from satellite imagery from the US Geological Survey National Land Cover Dataset (NLCD) and from field sampling. The NLCD provided data on canopy closure and tree species composition at a 30 m resolution. Additionally, I used spherical densitometers and transect evaluations to ground-truth data and take more detailed measurements. I determined reproductive success by nest monitoring and the Vickery index when nests could not be found. I monitored 80 territories across six study sites in 2009 and 2010. Reproductive success was 39.5 percent in 2009 and 59.4 percent in 2010. I found statistically significant results at the study site scale, whereas golden-cheeked warbler abundance increased as the portion of woodland increased. Similarly, I found that golden-cheeked warbler reproductive success increased at the study site scale as canopy closure increased. I did not find correlations between reproductive success and canopy closure or tree species composition at the territory scale. Results suggest that golden-cheeked warblers utilize a wider variety of habitat composition than previously thought, and habitat composition as a whole may not be the driving factors influencing warbler reproductive success in this region

FRENCH TRANSLATION AND LINGUISTIC VALIDATION OF A NEW PATIENT REPORTED OUTCOME INSTRUMENT: THE BODY-Q: A DESCRIPTION OF THE PROCESS

Background: Bariatric surgery or reconstructive body contouring surgery performed after weight loss, has the potential to have a major impact one’s body image, health-related quality of life (HRQOL) and mental wellbeing. Many researches show interest in measuring this impact using generic instruments that unfortunately are not specifically oriented toward bariatric or surgery patients. The BODY-Q is a new patient-reported outcome (PRO) instrument designed to measure patient perceptions of weight loss and/or body contouring. In this article, we describe the methods used to translate and culturally adapt the French version of the BODY-Q. Material and method: We followed the recommendation for translation process established by the International Society for Pharmacoeconomics and Outcome Research (ISPOR) and the World Health Organisation (WHO). This process included two forward translations, one backward translation, a review by a panel of expert and cognitive debriefing interviews with patient. Our aim was to ensure a conceptual and culturally valid translation. Results: This translation process led to a conceptually and culturally equivalent French version of the Body-Q. Backward translation comparison to the English original version led to the identification of 16 differences necessitating re-translation. The expert panel offered support to identify inadequate expressions and proposed changes to the translations. The cognitive debriefing interviews with 15 patients contributed to minor changes in the translation. Conclusions: This thorough method of translation and cultural adaptation allowed us to develop a conceptually and culturally valid French translation of the BODY-Q

FRENCH TRANSLATION AND LINGUISTIC VALIDATION OF A NEW PATIENT REPORTED OUTCOME INSTRUMENT: THE BODY-Q: A DESCRIPTION OF THE PROCESS

Background: Bariatric surgery or reconstructive body contouring surgery performed after weight loss, has the potential to have a major impact one’s body image, health-related quality of life (HRQOL) and mental wellbeing. Many researches show interest in measuring this impact using generic instruments that unfortunately are not specifically oriented toward bariatric or surgery patients. The BODY-Q is a new patient-reported outcome (PRO) instrument designed to measure patient perceptions of weight loss and/or body contouring. In this article, we describe the methods used to translate and culturally adapt the French version of the BODY-Q. Material and method: We followed the recommendation for translation process established by the International Society for Pharmacoeconomics and Outcome Research (ISPOR) and the World Health Organisation (WHO). This process included two forward translations, one backward translation, a review by a panel of expert and cognitive debriefing interviews with patient. Our aim was to ensure a conceptual and culturally valid translation. Results: This translation process led to a conceptually and culturally equivalent French version of the Body-Q. Backward translation comparison to the English original version led to the identification of 16 differences necessitating re-translation. The expert panel offered support to identify inadequate expressions and proposed changes to the translations. The cognitive debriefing interviews with 15 patients contributed to minor changes in the translation. Conclusions: This thorough method of translation and cultural adaptation allowed us to develop a conceptually and culturally valid French translation of the BODY-Q

Waiting for child developmental and rehabilitation services: an overview of issues and needs

Concern about the length of time that children, young people, and families may have to wait to access assessment, diagnostic, interventional, therapeutic, and supportive child developmental and rehabilitation (CDR) services is widespread, but adequate data collection and research on this issue remain limited. We review key concepts and issues relevant to waiting for CDR services from the published literature, a national workshop devoted to this topic, and international experience. We conclude that gaps in data, evidence, and consensus challenge our ability to address the issue of waiting for CDR services in a systematic way. A program of research coupled with actions based on consensus-building is required. Research priorities include acquiring evidence of the appropriateness and effectiveness of different models of intervention and rehabilitation services, and documenting the experience and expectations of waiting families. Consensus-building processes are critical to identify, categorize, and prioritize \u27sentinel\u27 components of CDR service pathways: (1) to reduce the inherent complexity of the field; (2) to create benchmarks for waiting for these respective services; and (3) to develop definitions for wait-time subcomponents in CDR services. Collection of accurate and replicable data on wait times for CDR services can be used to document baseline realities, to monitor and improve system performance, and to conduct comparative and analytic research in the field of CDR services

Toward the development of the International Classification of Functioning Core Sets for children with cerebral palsy: a global expert survey

The goal of the International Classification of Functioning is to standardize the classification of health and function of children around the world. To facilitate the application of this classification, International Classification of Functioning-based tools like the Core Sets are being developed. We conducted an international survey of professional experts to identify the most relevant areas of functioning in children with cerebral palsy. The questionnaire covered each component of the classification. In total, 193 professionals completed the survey (response rate 78%). Overall, 9706 answers were linked to the classification (pediatric version) by 2 professionals. From the experts\u27 perspective, movement-related areas and social participation are the most relevant areas of functioning. Experts suggest a more comprehensive profile of functioning in particular in areas of personal capacity and social participation. The results of this survey will inform the development of the International Classification of Functioning Core Sets for children with cerebral palsy

Developing a Proof-of-Concept Selection Test for Entry into Primary Teacher Education Programs

The purpose of this article is to report on the development of a proof-of-concept situational judgment test (SJT) to assist in the selection of candidates for primary teacher education (ITE) programs. Nine development steps involving practising teachers, teacher educators, and applicants to ITE programs were carried out to establish target attributes and to develop content for the test. The results from administering the test to 124 primary ITE candidates showed a near-normal distribution, high levels of reliability, and significant positive correlations with a range of concurrently administered interview scores. We conclude with a description of the necessary next steps needed to implement evidence-supported teacher education selection processes in a range of international settings