Inexpensive DIY Bioprinting in a Secondary School Setting

Bioprinting is a technique that allows custom printing of cell-laden tissue using the principle of three-dimensional (3D) printing. The technique has various applications, ranging from tissue engineering to materials science. Bioprinting is an attractive topic for science, technology, engineering, and math education due to its novelty and interdisciplinary nature. Nonetheless, a basic commercial bioprinter could cost several thousand U.S. dollars. There have been attempts to construct low-cost do-it-yourself bioprinters for research purpose. However, those methods required expertise, uncommon reagents, and professional equipment, making it difficult for teachers and students in secondary schools to replicate. Here, we demonstrate how teachers and students in a secondary school can convert a 3D printer into a bioprinter for conducting a hands-on bioprinting activity using secondary school-available resources. Briefly, an open-source Creality Ender 3 V2 3D printer in a school was converted into a bioprinter using 3D-printed parts and other readily available materials. Cell-laden bioink and support medium were made using school-available reagents. The bioprinter can be easily constructed and operated by teachers and students who do not have prior knowledge in coding and engineering. We used the bioprinter to print a coronary artery model and an algae-laden artificial leaf. The photosynthetic activity of the artificial leaf could be observed and investigated using a hydrogen carbonate indicator. The work described in this paper could make bioprinting available, comprehensible, and enjoyable to secondary school students, opening a door for inexpensive innovative teaching and learning activities using bioprinting in secondary schools.

Athletic Trainers' Use of Support Systems for Balancing Roles as an Athletic Trainer and Parent

CONTEXT

Work-life balance is a topic of interest in the athletic training profession. Particularly for parents, managing work and home roles can be challenging. Social support has been identified as a resource for improving athletic trainers' balance and quality of life and warrants further investigation.

OBJECTIVE

To explore the sources and perceptions of social support among athletic trainers with children.

DESIGN

Qualitative study.

SETTING

Collegiate and secondary school settings.

PATIENTS OR OTHER PARTICIPANTS

Thirty-two athletic trainers who worked in the collegiate (12) or secondary school (20) setting participated. All individuals (19 females, 13 males) were parents, and they ranged in age from 25 to 72 years, with 2 to 52 years of experience as athletic trainers.

DATA COLLECTION AND ANALYSIS

Participants were recruited from a larger cross-sectional survey. A semistructured interview was developed by the research team and reviewed by a peer expert in the field. Respondents completed the interview protocol, which contained questions in numerous areas related to work-life balance. Data analyses were guided by the research questions related to social support and used a phenomenologic approach. We researchers immersed ourselves in the data and engaged in a coding process. Researcher triangulation and peer review were used to establish credibility.

RESULTS

Our participants found social support in their work and home lives. Support was described by source (eg, supervisors, coworkers, spouses, family, friends) and type (eg, emotional, tangible, network). Respondents perceived that support stemmed from understanding, flexibility, sharing responsibilities, and shared life experiences, which aided them in balancing their roles.

CONCLUSIONS

Athletic trainers valued social support and used different types of support to help create work-life balance. Support in the workplace, at home, and from the profession is necessary for athletic trainers who are parents, as it provides a means to help balance roles and responsibilities.

Athletic Trainers' Reasons for and Mechanics of Documenting Patient Care: A Report From the Athletic Training Practice-Based Research Network

CONTEXT

  Documenting patient care is an important responsibility of athletic trainers (ATs). However, little is known about ATs' reasons for documenting patient care and the mechanics of completing documentation tasks.

OBJECTIVE

  To understand ATs' perceptions about reasons for and the mechanics of patient care documentation.

DESIGN

  Qualitative study.

SETTING

  Individual telephone interviews with Athletic Training Practice-Based Research Network members.

PATIENTS OR OTHER PARTICIPANTS

  Ten ATs employed in the secondary school setting (age = 32.6 ± 11.4 years, athletic training experience = 7.1 ± 7.8 years) were recruited using a criterion-based sampling technique. Participants were Athletic Training Practice-Based Research Network members who used the Clinical Outcomes Research Education for Athletic Trainers electronic medical record system and practiced in 6 states.

DATA COLLECTION AND ANALYSIS

  We used the consensual qualitative research tradition. One investigator conducted individual telephone interviews with each participant. Data collection was considered complete after the research team determined that data saturation was reached. Interviews were transcribed verbatim and independently analyzed by 4 research team members following the process of open, axial, and selective coding. After independently categorizing interview responses into categories and themes, the members of the research team developed a consensus codebook, reanalyzed all interviews, and came to a final agreement on the findings. Trustworthiness was established through multiple-analyst triangulation and member checking.

RESULTS

  Participants identified 3 reasons for documenting patient care: communication, monitoring patient care, and legal implications. Four subcategories emerged from the mechanics-of-documentation theme: location, time of day, length of time, and criteria for documenting. The ATs described different criteria for documenting patient care, ranging from documenting every injury in the same manner to documenting time-loss and follow-up injuries differently.

CONCLUSIONS

  Whereas ATs recognized individual mechanisms that enabled them to document patient care, they may need more guidance on the appropriate criteria for documenting various patient care encounters and strategies to help them document more effectively.

Athletic Trainers' Perceptions of and Barriers to Patient Care Documentation: A Report From the Athletic Training Practice-Based Research Network

CONTEXT

  For the practice characteristics of the services athletic trainers (ATs) provide to be identified, all ATs must complete high-quality patient care documentation. However, little is known about ATs' perceptions of patient care documentation or the potential barriers they may encounter while trying to ensure high-quality documentation.

OBJECTIVE

  To explore ATs' perceptions of and barriers to patient care documentation via the Clinical Outcomes Research Education for Athletic Trainers (CORE-AT) electronic medical record system in the secondary school setting.

DESIGN

  Qualitative study.

SETTING

  Individual telephone interviews.

PATIENTS OR OTHER PARTICIPANTS

  We interviewed 10 ATs (4 men, 6 women; age = 32.6 ± 11.4 years, athletic training experience = 7.1 ± 7.8 years) who were members of the Athletic Training Practice-Based Research Network (AT-PBRN) and employed in the secondary school setting.

DATA COLLECTION AND ANALYSIS

  We conducted an individual interview with each participant. After transcription of the interviews, the data were analyzed into common themes and categories following the consensual qualitative research tradition. Data triangulation occurred through member checking and multiple researchers to ensure accuracy during data analysis.

RESULTS

  Participants revealed several perceptions of patient care documentation, consisting of quality, expectations and accountability, priority, incentive, and culture of the secondary school setting. In addition, we identified barriers to quality patient care documentation: lack of time, lack of accountability for documenting patient care, inadequate facility resources, and lack of personnel. Participants discussed the volume of patients as a unique challenge in the secondary school setting.

CONCLUSIONS

  Whereas ATs perceived patient care documentation as important, several practical barriers may inhibit their ability to complete high-quality documentation of the services they provide. Effective strategies to improve the quality of patient care documentation among ATs are needed to ensure that their value, particularly in the secondary school setting, is accurately characterized.