Clinical Research Directory

Chatbot to Support Healthcare Professionals Experiencing Workplace Aggression

This study aims to design, develop, and validate a chatbot (SANIDAD SEGURA) intended to support healthcare professionals who experience workplace aggression. Workplace violence in healthcare settings is a growing global concern and has been associated with negative psychological, professional, and organizational consequences. Despite the existence of prevention and reporting protocols, many incidents remain underreported and affected professionals often lack immediate, confidential access to guidance and support. SANIDAD SEGURA is a digital conversational agent designed to provide accessible information, guidance, and referral to institutional, psychological, and legal resources following aggressive incidents. The study will evaluate the usability, readability, and preliminary effectiveness of the chatbot among healthcare professionals working in emergency and critical care units. The study seeks to determine whether a chatbot-based tool can serve as a feasible and acceptable digital resource to assist professionals exposed to workplace aggression and facilitate access to support resources while contributing to improved reporting and understanding of workplace violence in healthcare settings.

Proprioception and Manual Skills

The proprioception refers to a person's awareness of the position, velocity, and weight of any body part in space. Proprioception consists of joint position sense and joint movement sense.Proprioception arises from the coordination of many different receptors, and it is assumed that these receptors are concentrated in muscles, tendons, joint capsules, and ligaments. Examples of proprioceptors include the golgi tendon organ, muscle spindles, pacinian corpuscles, and free nerve endings. Proprioceptive sense is closely related to many movements performed to perform daily activities. Proprioceptive sense is considered one of the most important resources in the development of task-specific neuroplasticity.The healthcare sector comprises individuals from many professional groups. Each professional group reaches professional competence by undergoing specific educational and training stages. Physiotherapists are one of these professional groups. To fulfill their professional duties, physiotherapists are expected to possess core competencies such as patient assessment using various manual methods, clinical decision-making, technical, communication, and therapeutic skills. Furthermore, a key difference distinguishing physiotherapists from other professions is their extensive manual contact with patients during assessment and treatment programs. Members of this professional group receive various training programs in manual therapy methods during their undergraduate studies. They undergo various qualifications that develop their manual skills and conduct assessment, treatment, and rehabilitation using various manual methods throughout their professional careers. The hand, with its complex structure, is one of the most prominent parts of the human body. Despite accounting for 0.6% of body weight and 2% of body surface area, the hand accounts for over 20% of the motor and sensory homunculus, demonstrating the importance and complexity of the hand's functional structure. The hand's ability to perform these complex skills depends not only on motor ability but also on two excellent sensory systems: proprioception and the sense of touch.It is thought that upper extremity proprioceptive sense and manual dexterity may vary among healthcare professionals. The literature primarily focuses on studies evaluating the proprioceptive sense and manual dexterity of dentists. However, it is noteworthy that studies have not compared the differences in proprioceptive sense and manual dexterity among healthcare professionals. Therefore, the purpose of this study was to compare proprioceptive sense and manual dexterity between physiotherapists and other healthcare professionals.