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Introduction: The purpose of this study was to evaluate self-perceived critical moments that were transformative to learning in students who participated in an international advanced pharmacy practice experience (APPE).
Methods: Twenty-two pharmacy students from Purdue University College of Pharmacy, the University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, and the University of North Carolina Eshelman School of Pharmacy who went on an international APPE participated in a one-hour focus group evaluating self-perceived critical moments that impacted their learning. Focus groups were coded using a conventional content analysis approach and went through a two-cycle open coding process to identify major themes according to country income classification.
Results: Twenty-two students participated in the focus groups with 18% going to a high-income country (HIC) and 82% going to a low-to-middle income country (LMIC) location. Major themes identified within HIC locations included witnessing an innovative patient care technique and experiencing interprofessional healthcare team dynamics. Major themes identified within LMIC locations included engaging in a sensitive patient interaction, experiencing healthcare system barriers, going out of their comfort zone, and making a difference.
Conclusions: International APPEs in both HIC and LMICs provided students with disorienting experiences that facilitated transformative learning and led to changes in their perspectives on patient care and pharmacy practice. While critical moments were different across country income locations, both provided valuable experiences that could be translated into local context.
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http://dx.doi.org/10.1016/j.cptl.2021.01.024 | DOI Listing |
Heliyon
December 2024
School of Accounting, Zhongnan University of Economics and Law, Wuhan, China.
The Ghanaian banking sector, grappling with a spectrum of financial risks, presents a compelling case study for understanding the dynamics of risk and profitability in emerging markets. This study seeks to fortify the financial performance of Ghanaian banks through an innovative application of benchmark regression analysis, focusing on critical financial risk and performance metrics. Employing an explanatory research methodology, we harnessed a panel regression model to scrutinize secondary data extracted from the annual income statements of 23 banks, spanning nearly two decades from 2006 to 2023.
View Article and Find Full Text PDFTrop Med Int Health
December 2024
WHO Collaborating Centre for Research and Control of Opisthorchiasis (Southeast Asian Liver Fluke Disease), Tropical Disease Research Center, Khon Kaen University, Khon Kaen, Thailand.
Objective: Opisthorchis viverrini and cholangiocarcinoma have been recognised by the World Health Organisation as critical public health concerns, particularly in northeastern Thailand, where Opisthorchis viverrini is a significant cause of cholangiocarcinoma. This study examines the factors influencing Opisthorchis viverrini and cholangiocarcinoma prevention within the One Health framework in Kanthararom District, Sisaket Province, Thailand.
Methods: A cross-sectional study was conducted among 327 residents aged 20 and above, utilising a structured questionnaire to assess knowledge, attitudes, perceived self-efficacy and prevention behaviours.
J Multidiscip Healthc
December 2024
Department of Thanatology and Health Counseling, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Background: Patients with terminal illness often experience significant physical and mental suffering. This distress affects the patients themselves, as they endure the pain of their condition and their family members, who are affected by the patient's situation and medical decisions. Furthermore, exploring the patients' and their families' concepts of a "good death" is crucial for reflecting on the value of life and for planning treatment or care models (such as advance care planning).
View Article and Find Full Text PDFCureus
November 2024
Department of Surgery, Baghdad Teaching Hospital, Baghdad, IRQ.
Stroke is a critical public health issue in Iraq, where the rising incidence is met with insufficient specialized care, often leading to severe disability or mortality. This editorial highlights the urgent need for establishing endovascular centers across the country to address these gaps. Endovascular interventions, such as mechanical thrombectomy, have proven effective in reducing stroke-related mortality and long-term disability when administered within a narrow treatment window.
View Article and Find Full Text PDFJ Neuroeng Rehabil
December 2024
Department of Health Promotion Science, Tokyo Metropolitan University, 1-1 Minami-Osawa, Hachioji, Tokyo, 192-0397, Japan.
Background: An age-related decline in motor flexibility, which is the ability to synergistically control the degrees of freedom of the body to ensure stable performance of a task, is a factor that contributes to falls. We investigated whether providing environmental constraints to increase the movement repertoire (i.e.
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