Impaired motor control after sport-related concussion could increase risk for musculoskeletal injury: Implications for clinical management and rehabilitation

This review presents a conceptual framework and supporting evidence that links impaired motor control after sport-related concussion(SRC)to increased risk for musculoskeletal injury.Multiple studies have found that athletes who are post-SRC have higher risk for musculoskeletal injury compared to their counterparts.A small body of research suggests that impairments in motor control are associated with musculoskeletal injury risk.Motor control involves the perception and processing of sensory information and subsequent coordination of motor output within the central nervous system to perform a motor task.Motor control is inclusive of motor planning and motor learning.If sensory information is not accurately perceived or there is interference with sensory information processing and cognition,motor function will be altered,and an athlete may become vulnerable to injury during sport participation.Athletes with SRC show neuroanatomic and neurophysiological changes relevant to motor control even after meeting return to sport criteria,including a normal neurological examination,resolution of symptoms,and return to baseline function on traditional concussion testing.In conjunction,altered motor function is demonstrated after SRC in muscle activation and force production,movement patterns,balance/postural stability,and motor task performance,especially performance of a motor task paired with a cognitive task(i.e.,dual-task condition).The clinical implications of this conceptual framework include a need to intentionally address motor control impairments after SRC to mitigate musculoskeletal injury risk and to monitor motor control as the athlete progresses through the return to sport continuum.     

Do organizational variables influence satisfaction with nursing student practices?

Clinical practices are a vital component in the education of registered nursing students. This study analyzed the influence of organizational variables on satisfaction with clinical practices. A cross-sectional study design involved 572 registered nursing students. Two statistical methodologies, hierarchical regression models and qualitative comparative analysis of diffuse sets, were used for data analysis. In the hierarchical regression models the number of students supervised predicted satisfaction with clinical educator (β = -.22; p ≤ .001), environment (β = -.13; p ≤ .05) and overall satisfaction (β = -.15; p ≤ .05). However, in the qualitative comparative analysis, the type of center, as well as the number of services assigned to the clinical educator and the number of students per clinical educator period were conditions that influence satisfaction with clinical practices. The type of center and the clinical educator are key factors related to registered nursing students’ satisfaction with clinical practices.     

Promoting the attitudes of nursing students towards refugees via interventions based on the contact hypothesis: A randomized controlled trial

A randomized controlled study was implemented on 90 nursing students in Turkey. The sample was divided into two groups: intervention and control group. The intervention group received education on refugee health and participated in a practical internship with refugees. Three scales were administered to the two groups at baseline (pre-test) and the end of intervention (post-test): "Xenophobia", "Attitude Towards Refugees" and "Intercultural Sensitivity". The three scale post-test scores of the intervention statistically significantly differed from control group and showed a statistically significant interaction between the groups and time in the two-way analysis of variance. The three scale post-test scores significantly differed from the pre-test scores in the intervention group, showing more relevant effects on xenophobia scale, two subscales of attitude towards refugees and intercultural sensitivity scale. The interventions based on the contact hypothesis improved nursing students' attitudes towards refugees.     

Adaptive designs for sequential experiments

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Nurse Research Rounds: In the Spirit of Inquiry

Nurses deliver a point-of-care service to patients. The nursing staff work extensive schedules and do not have time to research a clinical question to help support patient care. This article describes the implementation of the first research service that supports evidence-based practice at Georgia’s second largest hospital. Inspired by a similar service at a children’s hospital in 2014, the first year of nurse research rounds provides clinicians a new research service in their clinical setting.     

Walk-In Triage Systems in University Counseling Centers

To meet the complex mental health needs of students, some university counseling centers (UCCs) have implemented walk-in triage intake systems, which have not yet been empirically investigated. This study compared client and clinician differences (N = 5564) between a traditional scheduled intake system (Year 1) and a walk-in triage system (Year 2) at a large, southeastern UCC. Results showed a significant increase in clients’ attendance rates and clinicians’ caseloads, a significant decrease in no-show rates, and no change in students’ symptom severity at intake between Years 1 and 2. Clinicians’ number of scheduled appointments were unchanged, indicating that clinicians were already at maximum capacity for appointments in Year 1. Results are discussed in terms of the benefits and challenges that walk-in triage systems present to students, universities, and UCCs.     

如何提高“四证合一”时代临床专业硕士的培养水平

本文从实际情况出发,对于“四证合一”时代下临床医学专业硕士的培养从三大方面提出建设性意见,既与住院医师规范化培养不起时间上冲突,也不增加学生过多负担;既有利于临床专科实践与理论相结合,也教授学生科研思维和方法,对做好临床的医、教、研工作有一定意义。     

Student Writing in Social Work

Social work professors are frequently disappointed with the writing their students produce bumt feel unsure about how improvements can be made. Unfortunately, the social work literature does not shed much light on the problem of student writing. This exploratory study suggests a model that established a rationale for writing improvement, provides writing opportunities within non-threatening classroom environments, helps students during the writing process, and promotes explicit grading criteria. Preliminary findings suggest that with this model students may lower their writing anxiety, and professors could spend less time grading papers.     

Establishing the need for health communication research: best practices model for building transdisciplinary collaborations

The benefits of transdisciplinary collaboration for addressing complex health problems are widely accepted; however, acknowledging the bumps and twists along the road that are inherent in those collaborations is often considered taboo. Academic norms that prevent open discussion of these challenges can have counter-productive results. This essay describes the major education efforts, milestones, and footfalls in the development of an effective partnership between communication-trained researchers in a College of Journalism and Communications and medical researchers in a College of Medicine. We hope it can serve as “best practice” for understanding the value of team science and interdisciplinary research collaborations.     

Experiences of master’s students regarding clinical supervision in an applied psychology programme in South Africa

This study explored and described the experiences regarding clinical supervision of master’s students in professional psychology programmes in South Africa. Four participants were purposively selected from four different universities. The participants engaged in reflective writings and in-depth interviews over a one-year span. Data were analysed through interpretative phenomenological analysis (IPA). Findings indicated that supervision, as compulsory pedagogical activity for these students, serves an essential purpose, as it was identified as the main contributor towards their professional developmental journeys. Interpretation of the findings yielded themes of significance across cases. Identified themes are emotional support, self-acceptance, autonomy and personal growth. Themes were contextualise within broader educational theories as well as within professional career developmental theory in psychology. While becoming a psychologist is known to be a difficult journey, the results indicated that it can also be rewarding, and holds the potential to enhance growth which can be unlocked by the supervisory relationship.