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112297.More information
Background: Although traditional and cultural health practices are widely used in Colombia, physicians are not trained to address intercultural tensions that arise in clinical practice. Cultural safety encourages practitioners to examine how their own culture shapes their clinical practice and to respect their patients’ culture. It requires inviting patients of non-dominant cultures to co-design culturally safe health care. We co-designed a curriculum for cultural safety training of Colombian health professionals. Methods: A sequential-consensual qualitative study defined the learning objectives of the curriculum. Semi-structured questionnaires and focus groups explored the opinions of traditional medicine users, medical students, and intercultural health experts to inform the content of the curriculum. Deliberative dialogue between key intercultural health experts settled the academic content of the curriculum. A member-checking strategy modified and approved the final version. Results: Seven traditional medicine users, six medical students, and four intercultural health experts participated in the study. The stakeholders defined five learning objectives: (a) culturally unsafe practices: acknowledge the intercultural tensions and its consequences; (b) cultural awareness: examine their attitudes, beliefs, and values, and how they shape their professional practice; (c) cultural humility: listen and learn from the patients’ traditional practices; (d) cultural competence: describe current pedagogical approaches to address intercultural tensions; and (e) cultural safety: discuss with patients to reach an agreement on their treatment. Conclusion: This study integrated the perspectives of different stakeholders and proposed new applications of cultural safety that are relevant to other countries. Researchers and educators can use these results to inform future cultural safety initiatives.
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112298.More information
Taking as its starting point the discussion of “what is meant by the word Recorde” in a 1581 work by William Lambard, this article considers the development of conceptual ideas about records from the Middle Ages to the early years of the 20th century. After examining the medieval understanding of record as oral testimony of legal judgments, it discusses how concepts of record in England gradually expanded to embrace written texts, and it traces the shift from an exclusive association with courts of law to a perception that records could be made, kept, and used across a much wider range of contexts. The article also examines the changing terminological relationships between records and archives and the dissemination of English understandings of records to other Anglophone countries. It concludes with a brief exploration of points of contact between older debates about the scope of the term record and those of present- day professional discourse.
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112299.More information
The general question of this study is to understand the impact of credit risk on the performance of Canadian banks. The results allow to confirm that effective management of credit risk has a positive effect on the performance of Canadian banks and that increasing credit risk leads to a decrease in financial and stock market performance. The results also confirm that certain ratios such as debt to deposit and debt to asset positively affect operational performance. This research clearly highlights a clarification and a better understanding of the determinants of credit risk, and its relevance to promote policies for managing this risk, hence the better performance of banks.
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112300.More information
During the initial wave of the COVID-19 pandemic, 1,930 Canadian teachers were surveyed about their burnout and resilience levels, as well as their job demands and resources. Latent profile analysis revealed that teachers were responding to their experiences in five distinct patterns, or profiles, of burnout or resilience. Survey data were then used to match each profile group with their salient demands and resources. A continuum model of recommendations is offered to support teacher resilience as they navigate and recover from the pandemic.
Keywords: professeur, teacher, épuisement, burnout, résilience, resilience, pandémie, pandemic, job demands-resources, exigences professionnelles et ressources, latent profile analysis, analyse du profil latent