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Desalegn, Zelalem, Negussie Deyessa, Brhanu Teka, et al. "COVID-19 and the public response: Knowledge, attitude and practice of the public in mitigating the pandemic in Addis Ababa, Ethiopia." PLOS ONE 16, no. 1 (2021): e0244780. http://dx.doi.org/10.1371/journal.pone.0244780.
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Background The COVID-19 pandemic is impacting the global community in many ways. Combating the COVID-19 pandemic requires a coordinated effort through engaging public and service providers in preventive measures. The government of Ethiopia had already announced prevention guidelines for the public. However, there is a scarcity of evidence-based data on the public knowledge, attitude, and practice (KAP) and response of the service providers regarding COVID-19. Objective This study aimed to assess the public KAP and service providers’ preparedness towards the pandemic in Addis Ababa, Ethiopia. Methods A community-based cross-sectional study was conducted in Addis Ababa, Ethiopia, from late March to the first week of April 2020. Participants were conveniently sampled from 10 different city sites. Data collection was performed using a self-administered questionnaire and observational assessment using a checklist. All statistical analysis was performed using SPSS version Descriptive statistics, correlation coefficient and chi-square tests were performed. Result A total of 839 public participants and 420 service providers enrolled in the study. The mean age was 30.30 (range = 18–72) years. The majority of the respondents (58.6%) had moderate knowledge about COVID-19, whereas 37.2% had good knowledge. Moreover, 60.7% and 59.8% of the participants had a positive attitude towards preventive measures and good practice to mitigate the pandemic, respectively. There was a moderate positive correlation between knowledge and attitude, whereas the correlations between knowledge and practice and attitude and practice were weak. With regard to service providers’ preparedness, 70% have made hand-washing facilities available. A large majority of the respondents (84.4%) were using government-owned media followed by social media (46.0%) as a main source of information. Conclusion The public in Addis Ababa had moderate knowledge, an optimistic attitude and descent practice. The information flow from government and social media seemed successful seeing the majority of the respondents identifying preventive measures, signs and symptoms and transmission route of SARS-CoV-2. Knowledge and attitude was not associated with practice, thus, additional innovative strategies for practice changes are needed. Two thirds of the service provider made available hand washing facilities which seems a first positive step. However, periodic evaluation of the public KAP and assessment of service providers’ preparedness is mandatory to combat the pandemic effectively.
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Kelkay, Asrat Dagnew. "Practice and challenges in provision of guidance and counselling services in secondary schools of South Gondar, Ethiopia." Global Journal of Guidance and Counseling in Schools: Current Perspectives 9, no. 1 (2019): 1–13. http://dx.doi.org/10.18844/gjgc.v9i1.3859.
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The main purpose of the study was to assess the provision of guidance and counselling service in South Godar secondary schools. It was designed to study the types of service provided by service providers in South Gondar secondary schools and to investigate the attitude and awareness of Guidance & Counselling Committee (GCC) members, teachers, principals and students towards the usefulness of guidance and counselling services/programme. The study was conducted using a descriptive survey design from five secondary schools using questionnaires and interview as data gathering instruments. The total number of sampled respondents was 173, of which 100 (students) selected by simple random sampling, five school principals, 49 teachers, 19 GCC members/service providers were selected using comprehensive sampling technique. Statistical data analysis techniques were used to analyse the data and thematic analysis, i.e., qualitative analysis, was used to interpret interview and open-ended questionnaires. The study revealed that most of the secondary school service providers were provided behavioural and academic counselling and educational counselling for their students in their respective schools. The study also indicated that positive attitude and promising awareness towards guidance and counselling service among the four category respondents.
Keywords: Challenges, counselling guidance, practice and secondary school.
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Kalavani, Khalil, Rafat Mohebbifar, and Sima Rafiei. "Evidence based practice among healthcare providers: a cross-sectional study." International Journal of Health Care Quality Assurance 32, no. 5 (2019): 867–78. http://dx.doi.org/10.1108/ijhcqa-08-2017-0162.
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Purpose Nowadays health systems in most of the countries are trying to build their healthcare provision system based on scientific knowledge based evidence. Evidence-based practice (EBP) is a crucial factor for quality improvement focusing on compliance with clinical standards. The purpose of this paper is to assess evidence-based knowledge and skills among healthcare providers in Qazvin hospitals in 2016. Design/methodology/approach This was a descriptive study conducted among 300 health professionals working in hospitals affiliated by Qazvin University of Medical Sciences in 2016. A self-administered questionnaire was used to gather data on health providers’ attitude, knowledge and skill regarding EBP. Descriptive statistics and multiple linear regressions were used to analyze data using SPSS 16 software. Findings A total of 254 participants (84.6 percent) completed the questionnaire in which their attitude, knowledge and skill toward EBP were assessed at a low level. Study results indicated that among different occupational groups, physicians and those with greater awareness toward EBP terminology had a more positive attitude compared with others. Furthermore, a higher level of knowledge and skill toward EBP was associated with being a physician and having a positive attitude toward the issue. Practical implications Given the importance of EBP and due to insufficient knowledge of healthcare providers about the issue, it is necessary to hold appropriate educational courses to empower health workforce in implementing EBP principles. Originality/value The authors applied a self-administered questionnaire to assess health workforce knowledge and skills toward EBP. The results obtaining from the analysis not only highlights weaknesses related to service providers’ knowledge and capabilities to implement EBP but also reveals facilities required for realization of the subject in hospital settings.
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Tork, Hanan, Safiah ALRaffaa, Khadija ALMutairi, Noof ALShammari, Amani ALHarbi, and Awatef ALOnzi. "Stem cells: knowledge and attitude among health care providers in Qassim region, KSA." International Journal of Advanced Nursing Studies 7, no. 1 (2017): 1. http://dx.doi.org/10.14419/ijans.v7i1.8524.
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Background: Health care providers as a trusted source of information for most patients should be able to provide counseling services to patients on the new concept of stem cells utilization, benefits and its practice implications.Objective: this study aims to assess the knowledge and attitude of health care providers in Qassim region regarding stem cells.Methods: Self-administered tools were utilized among 250 health care providers were chosen from five major hospitals in Qassim, including doctors, nurses, and other health care providers such as pharmacists, dietaries and administrative staff.Results: The participants were female,<30 years in age, had practiced for <10 years and nurses. About 56% of respondents had a moderate knowledge regarding stem cells, and only 31.2 % had good knowledge. About three quarters 191 (76.4%) of the participants exhibited positive attitude towards stem cells use. A Pearson’s correlation between knowledge and attitude scores was statistically significant. Conclusion: Data from the present study revealed the moderate levels of knowledge and positive attitude toward stem cells and its application among health care providers in Qassim. Therefore, this study suggests that educational programs on stem cells should be implemented to improve stem cells knowledge and encourage a more positive attitude.
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Swerissen, Hal, John Stanton, Sandra Marshall, Chris Peterson, and Linda Tilgner. "An Evaluation of a Shared Care Diabetes Project." Australian Journal of Primary Health 6, no. 2 (2000): 30. http://dx.doi.org/10.1071/py00016.
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Shared care projects involve cooperation between general practitioners, specialist health professionals, and education and support services, to ensure clients receive optimal assessment, treatment and support. The Melbourne Division of General Practitioners Diabetes Service provided shared care to improve the care of patients with diabetes mellitus and reduce the incidence of complications. An evaluation of the Service was conducted using a database of 847 client records maintained by the Service and a survey of 35 GPs and 134 clients. Analysis of the client database indicated a positive trend for improved physical outcomes of clients attending the Service. Survey findings showed GPs and clients attributed improved patient attitude and knowledge of diabetes to the Service. Although GPs and clients were satisfied with the Service, GPs with more positive attitudes were more likely to be interested in placements and case discussions with other health professionals, and more often attributed an improved GP/patient relationship to the Service. The study highlights the need for integrated diabetes care to include partnerships between Divisions of General Practice, community health services, specialists and hospital service providers. It also shows the need to integrate referral and reporting systems, database management, GP services, diabetes education and allied health with hospital based services.
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Bhalla, Devender. "Knowledge, Attitude, and Practice among Practitioners Regarding Epilepsy in Bhutan: A Rural and a Remote Country." Journal of Neurosciences in Rural Practice 08, no. 04 (2017): 507–10. http://dx.doi.org/10.4103/jnrp.jnrp_272_17.
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ABSTRACT Purpose: Epilepsy is a major neurological disorder with many countries as scientifically silent and little-to-nothing known on various aspects of epilepsy. Methods: Taking background of a first multinational seminar on epilepsy in Bhutan and a short valid questionnaire pertaining to various aspects of epilepsy, before participation. Results: Large participation was achieved (76 out of 87 approached, 87.3%; 53.0% males). Based on the responses of 76.0% lecturers and clinician and medical administration, 21.0% nurses, and 3.0% traditional practitioners, important derivations were obtained: positively, (a) event provided at least an opportunity to bring service providers at a common platform toward initiating particular epilepsy goals, (b) none regarded epilepsy as contagious or due to past sins, (c) all responded favorably to that “they found this event useful' and 'this event added something meaningful to them personally or professionally,” (d) large participation indicated acceptance, need, and common interest among a number of stakeholders. Negatively, significant knowledge-deficit was noted: for 38.4% electroencephalogram is essential for diagnosis, 48.0% responded with incorrect definition of epilepsy, etc. Conclusions: Events, such as this, provides, for scientifically silent countries, basis for not only bringing service providers to a common platform but also to discuss to initiate particular epilepsy goals, to provide additional professional knowledge for strengthening service development, and to determine need and social acceptance around epilepsy. Important knowledge deficit was identified which cannot be fully explained through lack of time or limited training. There might be a need to reappraise the approach to teaching medical professionals about epilepsy.
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Biswas, Romy, Sharmistha Bhattacherjee, Kuntala Ray, Jayanta K. Roy, Tapas K. Sarkar, and Manasi Chakraborty. "Assessment of knowledge and attitude regarding intrauterine devices among auxiliary nurse midwife in two districts of North Bengal." International Journal Of Community Medicine And Public Health 5, no. 11 (2018): 4831. http://dx.doi.org/10.18203/2394-6040.ijcmph20184579.
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Background: Despite being one of the most easily available and reversible methods of family planning, IUD utilization continue to remain low, as evident in the nationwide surveys. One of the reasons was poor knowledge and skills on IUD provision among health care providers. This study examined factors related to providers, by examining their IUD-related knowledge, and their attitudes toward recommending or inserting the IUD.Methods: A descriptive cross sectional study was conducted among 503 ANMs from Uttar Dinajpur and Darjeeling Districts using a semi-structured questionnaire exploring the service providers’ knowledge, current practices and experience with IUD insertion. Attitudes regarding IUDs were assessed by asking how much they agreed with a number of hypothetical statements about the IUD.Results: The proportion of good knowledge and favourable attitude was 57.5% and 60% respectively. The knowledge was found to be significantly higher among ANMs aged less than 30 years and who had graduate education than their counterparts. Better knowledge and favourable attitude was found among the ANMs posted in Darjeeling and had service experience of more than 5 years.Conclusions: The knowledge and attitude of the ANMs were found to be less than satisfactory. Addressing IUDs and other newer contraceptives in pre-service curriculum, within job training and peer group education in both public and private areas may help the situation.
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Chan, Yuen Ching, Maliza Mawardi, and Adibah Hanim Ismail Daud. "Stigmatizing attitudes toward people living with HIV/AIDS (PLWHA) among primary health care providers in Kinta District, Perak." Malaysian Family Physician 16, no. 1 (2021): 31–38. http://dx.doi.org/10.51866/oa0001.
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Background: Stigmatizing attitudes expressed by health care providers prevent some members of at-risk populations from accessing human immunodeficiency virus (HIV) screening and care. This attitude contributes to the continuity of the infection dissemination within our community, which gives an impact on the healthcare service and the curtailment of the global HIV/acquired immunodeficiency syndrome (AIDS) pandemic. Objective: This study was conducted to identify stigmatizing attitudes toward people living with HIV/AIDS (PLWHA) and their determinants among primary health care providers in Kinta District, Perak. Methodology: A cross-sectional study was conducted in 36 primary care clinics in Kinta District, Perak. Using stratified random sampling, 365 primary health care providers were recruited into the study. A validated self-administered questionnaire was used to obtain sociodemographic data as well as information on the healthcare experiences of healthcare providers, their knowledge of HIV/AIDS, and attitudes toward PLWHA. Determinants were identified using multiple linear regression. Results: More than half of the respondents (54.1%) had never provided care to HIV/AIDS patients. A minority (29.9%) had received training on HIV/AIDS. This study shows that doctors (Coef.= -9.50, 95% CI: -18.93, -0.07, p= 0.048), respondents with HIV-positive relatives, (Coef.= -5.61, 95% CI: -10.57, -0.65, p= 0.027), those who had provided care to HIV/AIDS patients (Coef.= -2.38, 95% CI: -4.31, -0.45, p= 0.016), and those with a higher knowledge score on HIV/AIDS (Coef.= -0.86, 95% CI: -1.59, -0.13, p= 0.021) were less likely to show stigmatizing attitudes toward PLWHA. Conclusion: The issue of stigmatizing attitudes toward PLWHA among primary health care providers needs to be addressed. This study finds that knowledge, profession, experiences with caring for PLWHA, gender, and having HIV-positive relatives are significant predictors of stigmatizing attitudes toward PLWHA among primary health care providers in Kinta District, Perak. Interventional programs to improve knowledge and awareness, as well as decrease stigma toward PLWHA, should be implemented among all health care providers, especially those who have no opportunity to provide direct care.
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Gazley, Aaron, and Hamish Simmonds. "When service providers fail: outsourcing help and consumer attitudes." Journal of Business Strategy 39, no. 5 (2018): 22–30. http://dx.doi.org/10.1108/jbs-03-2018-0040.
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Purpose The purpose of this paper is to investigate the effect of outsourcing and offshoring on brand loyalty in a service recovery context. In addition, the effect that consumer ethnocentrism has on these relationships is examined. Design/methodology/approach An experiment was designed using a series of service recovery scenarios that manipulated whether the recovery effort was conducted by an in-house/outsourced or local/offshored party. Findings The study shows that while outsourcing service recovery within the home country has no effect on loyalty, outsourcing to an offshore location does. In addition, the effect of offshoring of loyalty is greater for consumers who hold ethnocentric tendencies. Practical implications This research suggests the need to consider the delivery channel of service recovery to recover a service failure and retain customer loyalty. The results show that outsourcing within a local country may be effective, but the risks associated with offshoring are much greater. Originality/value Despite previous attempts to understand outsourcing and offshoring in a range of service scenarios, their role in service recovery is not well understood. Similarly, the impact that ethnocentrism might have on this process is overlooked. This paper therefore responds to calls within business theory, practice and consults for further study in this under-researched area.
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Belaid, Loubna, Pamela Atim, Eunice Atim, et al. "Communities and service providers address access to perinatal care in postconflict Northern Uganda: socialising evidence for participatory action." Family Medicine and Community Health 9, no. 2 (2021): e000610. http://dx.doi.org/10.1136/fmch-2020-000610.
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ObjectivesDescribe participatory codesign of interventions to improve access to perinatal care services in Northern Uganda.Study designMixed-methods participatory research to codesign increased access to perinatal care. Fuzzy cognitive mapping, focus groups and a household survey identified and documented the extent of obstructions to access. Deliberative dialogue focused stakeholder discussions of this evidence to address the obstacles to access. Most significant change stories explored the participant experience of this process.SettingThree parishes in Nwoya district in the Gulu region, Northern Uganda.ParticipantsPurposively sampled groups of women, men, female youth, male youth, community health workers, traditional midwives and service providers. Each of seven stakeholder categories included 5–8 participants in each of three parishes.ResultsStakeholders identified several obstructions to accessing perinatal care: lack of savings in preparation for childbirth in facility costs, lack of male support and poor service provider attitudes. They suggested joining saving groups, practising saving money and income generation to address the short-term financial shortfall.They recommended increasing spousal awareness of perinatal care and they proposed improving service provider attitudes. Participants described their own improved care-seeking behaviour and patient–provider relationships as short-term gains of the codesign.ConclusionParticipatory service improvement is feasible and acceptable in postconflict settings like Northern Uganda. Engaging communities in identifying perinatal service delivery issues and reflecting on local evidence about these issues generate workable community-led solutions and increases trust between community members and service providers.
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Chauhan, Madhubala, Shikha Gupta, and Ronak Gandhi. "Study of knowledge, attitude, and practice regarding cervical cancer and its screening among health service providers of Udaipur." International Journal of Clinical Obstetrics and Gynaecology 4, no. 1 (2020): 167–70. http://dx.doi.org/10.33545/gynae.2020.v4.i1c.459.
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Sugiharto, Sh, Wiwiek Natalya, and Bambang Widjanarko Otok. "Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study." Nurse Media Journal of Nursing 11, no. 1 (2021): 124–32. http://dx.doi.org/10.14710/nmjn.v11i1.33926.
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Background: Evidence shows that most general practitioners have low knowledge related to diabetes self-management during Ramadan fasting. However, studies on healthcare providers’ competencies related to diabetes self-management during Ramadan fasting are still rare.Purpose: This study aimed to investigate healthcare providers’ knowledge, attitude, and perspective concerning diabetes self-management during Ramadan fasting.Methods: The study applied a cross-sectional design and was conducted in forty-one (41) community health centers in Pekalongan, Central Java, Indonesia. The study participants were medical doctors, nurses, nutritionists, pharmacists, and public health officers. The total sampling technique was used. There were 205 healthcare providers who met the inclusion criteria. Their knowledge, attitude, and perspective were assessed using a questionnaire developed by Zainudin and Hussain. The Wilcoxon test was used to analyze the data. Results: The healthcare providers’ knowledge of Ramadan fasting was very low (36.79±26.11). More than half of the respondents (53.17%) advised diabetic patients to manage diabetes in general, although specific counseling for diabetic patients related to fasting in Ramadan month was not provided (55.12%). The perspective of Ramadan fasting among healthcare providers was moderate (62.68%±30.40). The results also showed that general and safe practice knowledge significantly affected the healthcare providers’ perspective toward Ramadan fasting (Z=-12.49, p=0.000), (Z=-12.02, p=0.000), respectively. Conclusion: Healthcare providers’ knowledge and attitude concerning diabetes self-management during Ramadan fasting were low. Accordingly, this affected their perspective. It is strongly recommended that a formal Ramadan fasting management training program should be given regularly to provide appropriate consultations and services.
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S. Y., Telly, Daniel William Athanasse Leno, Moussa Kantara Camara, Yolande Hyjazi, and Namory Keita. "Knowledge, attitudes and practices of obstetrical ultrasound in Conakry, Guinea." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 2 (2017): 585. http://dx.doi.org/10.18203/2320-1770.ijrcog20170387.
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Background: The authors report an initial assessment of the practice of obstetrical ultrasound in Conakry in order to make suggestions to improve the quality of services in Guinea.Methods: It is about a cross-sectional study of three months (August 1st to October 31st, 2013) conducted in Conakry. The study population consisted of health personnel performing fetal ultrasounds in Conakry and who agreed to participate in the survey. The data collected were about the socio-professional characteristics of the service providers, their knowledge and attitudes. The data were analyzed in a simple descriptive statistical analysis way. The results were analyzed according to the norms and standards issued by the French Fetal Ultrasound College and the National Technical Committee for Prenatal Diagnosis Ultrasound.Results: Twenty one service providers over twenty-six (80.8%) were male (80.8%) aged 40-49 years old (46.2%), obstetrician-gynecologists (76.9%), working in a public hospital (46.2%) and not having an ultrasound degree (59.2%). Eight service providers over twenty-six ((30.8%) affirmed knowing the recommended period for a fetal biometry. The majority (60%) indicated measuring the nuchal translucency and 85.2% (22/26) the craniocaudal length. The anatomical landmarks were not correctly identified in 75.2% of cases for the biparietal and the head circumference and in 63.8% of cases for abdominal circumference. Nine service providers over twenty-six (34.6%) affirmed explaining the limitations of ultrasound. Eighteen devices over twenty-six (69.2%) had more than 9 years of age, 73% (19/26) of them did not have a vaginal probe and 65.3% (17/26) did not have a pulsed wave Doppler.Conclusions: Improving the quality of the practice of obstetrical ultrasound in Guinea goes through training of service providers, establishing distribution and compliance with norms and standards as well as quality control of ultrasound devices.
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Diamond, Guy S., Alana O’Malley, Matthew B. Wintersteen, et al. "Attitudes, Practices, and Barriers to Adolescent Suicide and Mental Health Screening." Journal of Primary Care & Community Health 3, no. 1 (2011): 29–35. http://dx.doi.org/10.1177/2150131911417878.
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Objective: To determine primary care providers’ rates of screening for suicide and mental health problems in adolescents and the factors that promote or discourage this practice. Patients and Methods: Overall, 671 medical professionals (ie, pediatricians, family physicians, nurse practitioners, physician assistants) completed an electronic survey. The 53 items focused on (1) attitudes, knowledge, and comfort with general psychosocial and suicide screening and (2) current practices and barriers regarding screening and referrals to behavioral health services. Results: Forty percent had a patient attempt suicide in the past year, and 7.7% had 6 or more patients attempt suicide. At a well visit, 67% screened for mental health, and 35.2% screened for suicide risk. Most (61.1%) primary care providers rarely screened for suicide or only when it was indicated. Only 14.2% of primary care providers often used a standardized suicide screening tool. Factors associated with screening were being knowledgeable about suicide risk, being female, working in an urban setting, and having had a suicidal patient. Only 3.0% reported adequate compensation for these practices, and 44% agreed that primary care providers frequently use physical health billing codes for behavioral health services. Nearly 90% said parent involvement was needed if adolescents were to follow through with referrals to mental health services. Only 21% frequently heard back from the behavioral health providers after a referral was made. Conclusion: Policy that promotes mental health education for primary care providers, provides reimbursement for mental health screening, and encourages better service integration could increase suicide screening and save healthcare costs and patients’ lives.
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Gazi, Md Harun Ur Rashid, and MR Akhi. "Readiness of Nurses to Provide Nursing Care for COVID-19 Patients at COVID Dedicated Hospitals in Dhaka, Bangladesh." Bangladesh Medical Research Council Bulletin 46, no. 3 (2021): 161–67. http://dx.doi.org/10.3329/bmrcb.v46i3.52250.
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Background: Coronavirus pandemic has become the leading cause of disability and death throughout the world. Nurses have a pivotal role in managing the COVID-19 patients across the globe including Bangladesh. Objective: The study was aimed to assess the level of nurses’ knowledge, attitude and practice with regard to readiness for providing nursing care for COVID-19 patients at COVID-19 dedicated hospitals in Dhaka. Method: This is a cross-sectional descriptive study. Data were collected from July, to September, 2020 using a self-administered questionnaire. A total of 384 nurses were selected from four corona dedicated hospitals in Dhaka. Nurses’ readiness was measured by using paper and pencil questionnaire. Personal and professional characteristics knowledge, attitudes and practice related to COVID-19 questionnaires were used. Data were analysed using descriptive statistics, independent t-test, one way ANOVA and Pearson’s Product-Moment Correlation-Coefficient. Results: Findings showed that nurses had moderate level of knowledge (M = 34.34.15, SD = 2.98), attitude (M = 27.58, SD = 3.45) and practice (M = 13.12, SD = 1.78) respectively. A significant negative correlation found between knowledge and attitude (r = -.178, p = .000). However, no significant relationship was to be found between attitude and practice and knowledge and practice regarding nurses’ readiness to provide nursing care to COVID-19 patients. Statistical analysis showed that nurses working at Kurmitola General Hospital (F = 9.47, p = .000) had better practice than those of other hospitals. Senior staff nurses did better practice (F = 21.765, p = .000) than those of other nurses. Conclusion: Nurses achieved moderate level of knowledge, attitude and practice. There was negative correlation between knowledge and attitude of nurses. In-service education programme can be developed and conducted to increase knowledge, attitude and practice regarding nurses readiness for caring of COVID-19 patients. Bangladesh Med Res Counc Bull 2020; 46(3): 161-167
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Shier, Micheal L., and John R. Graham. "Identifying Social Service Needs of Muslims Living in a Post 9/11 Era: The Role of Community-Based Organizations." Advances in Social Work 14, no. 2 (2013): 395–415. http://dx.doi.org/10.18060/4180.
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In this qualitative study the investigators sought to better understand the ways in which service provider organizations (n=19) working with Muslim service providers have adapted to the changing social and political contexts in a post-9/11 era in New York City, and how this changing environment has affected the types of services that Muslims need. Service providers described two general ways in which services were adapted: 1) they have sought to address limits in service delivery programs that were a result of emerging sociopolitical dynamics (such as increasing discrimination) through adaptations to existing programs or through the development of new initiatives, programs, and organizations; and 2) they have adapted programs and services to meet the emerging sociocultural demands (such as changing attitudes towards help-seeking, and presenting problems of services users) of the Muslim population. The study illustrated the role of service provider organizations in adapting existing services, or creating new services, in response to a changing sociopolitical context. Social work education must focus attention on how social workers can adapt and create organizations that are responsive to the changing needs of service users. More curriculum content is necessary on the intra- and inter-organizational context of direct social work practice, with particular attention to innovation and adaptation within and between human service organizations.
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Liew, Chee Yoong, and Bee Lian Song. "Consumers’ Perception on Organisational Corporate Social Responsibility Practices and its Implications on Consumer Attitude: Evidence from the Malaysian Telecommunication Industry." Journal of Management and Sustainability 7, no. 4 (2017): 112. http://dx.doi.org/10.5539/jms.v7n4p112.
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This paper aims at investigating consumers’ perception on the Corporate Social Responsibility (CSR) practices of the telecommunication service companies in Malaysia, and its antecedent to consumer attitude. The local telecommunication service providers have emphasized on service quality, stakeholder value, corporate reputation, and innovation to achieve good business performance. However, little is known about the contribution of service quality, stakeholder value, corporate reputation, and innovation on the effectiveness of organisational CSR practices. Furthermore, lack of previous studies that have investigated the impact of organisational CSR practices on consumer attitude, particularly in the context of Malaysian telecommunication industry. With the adoption of structural equation modeling approach and survey method, a total of 360 samples comprising the prepaid and postpaid mobile consumers were obtained for this study. The results shown that consumers’ perception on service quality and stakeholder value had significant relationship with CSR practices. However, consumers’ perception on corporate reputation and innovation had no significant relationship with CSR practices. CSR practices was positively related to consumer attitude. In the theoretical implications, service quality and stakeholder value variables were found as important elements in the proponents of Strategic CSR Theory. In the managerial implications, this study recommended that the telecommunication service providers should highly focus on more effective planning and implementation of CSR practices through better integration of CSR in its core business functions and value chain system, diversification of CSR scope and stakeholders engagement.
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Sahebzadeh, Mandana, Abdol Hossein Gherekhloo, and Golrokh Atighechian. "The Effect of Educational Intervention on Health Care Providers' Preparedness in the Natural Disasters: A Case Study of Health Care Providers in Shahreza City, Iran." Health in Emergencies & Disasters Quarterly 6, no. 1 (2020): 39–46. http://dx.doi.org/10.32598/hdq.6.1.345.1.
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Background: Every year, numerous natural disasters occur around Iran, with many casualties and financial losses. In these crises, the demand for health care suddenly and uncontrollably increases. In such circumstances, the readiness of health centers and their staff is critical in reducing injuries and mortality. This study aimed to determine the effect of disaster preparedness intervention on the attitude, knowledge, and practice of health care providers in Shahreza City, Iran. Materials and Methods: This one-group quasi-experimental study was conducted on 55 health care providers in Shahreza health centers selected by the census method. The participants completed a researcher-made questionnaire in two stages before and two months after attending a disaster preparedness workshop, a top-table maneuver, and an operational maneuver. The obtained data were analyzed by SPSS v. 23 using descriptive statistics and paired t-test. Results: Data analysis showed a significant difference between the mean scores of pretraining and posttraining regarding the rate of knowledge, attitude, and preparedness (P<0.05), but there was no significant difference between the mean scores of performance (P>0.05). Conclusion: The intervention significantly improved awareness and developed a positive attitude about disaster preparedness. Although it slightly increased performance, it was not significant. Nonetheless, it appears that the continuation of training along with other operational methods can improve individual performance. It is recommended that disaster preparedness programs be considered as one of the topics of in-service education of health care providers and also as the subject of educational courses in different academic periods.
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Ahsan, Hafez Mohammad Nazmul, Md Ridwanur Rahman, Robed Amin, Syed Mahbub Morshed, Md Amzad Hossain, and Mostafa Kamal. "Attitude of Health Care Providers on Snake Bite in Rural Community of Bangladesh." Journal of National Institute of Neurosciences Bangladesh 4, no. 1 (2018): 28–32. http://dx.doi.org/10.3329/jninb.v4i1.38282.
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Background: Health care providers have different attitude and practice about the snake bite in rural community of Bangladesh.Objective: The purpose of the present study was to know the attitude and practice about the snake bite in rural community of Bangladesh.Methodolgoy: The findings from survey study on snake bite have been elicited from face to face interview with 243 number of medical professionals/health service providers consisting of 113 number of MBBS doctors, 86 number of nurses and 46 number of other health practitioners. The study area consisted of 5 zillasadar hospitals and 15 upazilla health complexes. This study aims to assess the Attitude and Practice of snakebite in rural community and effective management of snake bite through community engagement and using health care system of Bangladesh approach for prevention of snakebite in rural community and effective management of snake bite for the rural Bangladeshi people. It uses the methodological triangulation qualitative and quantitative approach as well as a case study design in analyzing data, whereby the exploratory-descriptive design is followed.Result: We purposively select the 243 sample (Doctors, Nurses, Paramedics ,Others) from the selected districts and its consisting random upazillas from the govt. sector hospitals keeping in mind gender balance (Male-Female) as a primary total target population. So in total, 5 division and its consisting random upazilas hospital including union health complex hospital personnel (From District, Upazilla& Community Hospitals)will be interviewed throughout mention areas of Bangladesh. The findings show that 60.1% of doctors, 50.0% of nurses and 56.8% of practitioners have a notion that the snake bite victims would go to Ozha followed by 11.5% of doctors, 4.7% of nurses and 11.4% of practitioners have a notion that they would go to the local healers and that of 26.5% of doctors, 41.9% of nurses and 32.9% of practitioners mentioned that the snake bite victims would go to doctors. The findings show that 69.0% of doctors, 64.0% of nurses and 56.8% of practitioners will recommend not to apply ‘ tight bandage’ to victim’s snake bite spot and 67.3% of doctors, 65.1% of nurses and 13.6% of practitioners will recommend not to apply ‘Suction by mouth or chick’ to victim’s snake bite spot. The findings show that 82.3% of doctors, 90.7% of nurses and 70.5% of practitioners applied first aid to the snake bite victim as their common practice.Conclusion: Majority of health professionals are well informed regarding harmful traditions and measuresJournal of National Institute of Neurosciences Bangladesh, 2018;4(1): 28-32
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Aishat, Usman, and Ayinde Olubunmi. "Prevention of Mother-to-Child Transmission of HIV/AIDS: Perception of Health Care Workers in Rural Areas of Oyo State." Scientifica 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/4257180.
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Introduction. Proper implementation of prevention of mother-to-child transmission (PMTCT) services requires adequate knowledge and appropriate attitudes and practices on the part of the health care providers especially in rural areas where access to health care delivery is very limited in Oyo State.Materials and Methods. This is a descriptive cross-sectional survey of 350 health care workers in a two-stage sampling technique. Data was obtained using interviewer-administered, pretested, semistructured questionnaires. The data was analyzed using Epi Info software version 7.Results. The knowledge of PMTCT of HIV was poor among the health care workers (69.1%). However, more than half (58.3%) had good attitudes towards PMTCT of HIV/AIDS. Predictors of good knowledge of PMTCT were religion [AOR = 1.6, 95% CI (1.1–2.6)], cadre of occupation [AOR = 10.2, 95% CI (2.9–35.1)], and length of service [AOR = 4.3, 95% CI (2.3–19.4)]. Predictors of good attitude towards PMTCT were length of service in the current hospital [AOR = 2.8, 95% CI (1.5–5.2)] and cadre of occupation [AOR = 3.9, 95% CI (1.28–11.9)].Conclusion. Despite poor knowledge of PMTCT of HIV/AIDS among the health care workers, the attitude towards PMTCT of HIV/AIDS was good. There is need for the involvement of the stakeholders in bridging the gap between knowledge of and attitude towards prevention of MTCT of HIV/AIDS among health care workers in the rural areas.
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Shah, Samir, Ali Elgalib, Adil Al-Wahaibi, et al. "Knowledge, Attitudes and Practices Related to HIV Stigma and Discrimination Among Healthcare Workers in Oman." Sultan Qaboos University Medical Journal [SQUMJ] 20, no. 1 (2020): 29. http://dx.doi.org/10.18295/squmj.2020.20.01.005.
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Objectives: Stigma and discrimination undermine the quality of life of people with HIV and their access to health services. This study aimed to assess HIV-related knowledge, attitudes and practices among healthcare workers (HCWs) in Oman. Methods: This cross-sectional study took place between July and November 2016. A questionnaire was distributed to 1,400 government HCWs to determine HIV-related knowledge, attitudes and practices. Results: A total of 1,281 HCWs participated (response rate = 92%). Routine tasks, such as dressing wounds, drawing blood and touching clothes, were a cause of concern for 24–52% of HCWs. Only 69% correctly answered questions regarding the transmission of HIV via eating/drinking and mosquito bites. Compared to other HCWs, doctors had significantly higher knowledge (mean = 0.46, 95% confidence interval [CI]: 0.19 to 0.73; P <0.001), attitude (mean = 0.77, 95% CI: 0.31 to 1.24; P = 0.001) and practice (mean = 2.07, 95% CI: 1.59 to 2.55; P <0.001) scores. Expatriates also scored significantly higher in knowledge (mean = 1.08, 95% CI: 0.93 to 1.23; P <0.001), attitude (mean = 1.23, 95% CI: 0.98 to 1.48; P <0.001) and practice (mean = 1.08, 95% CI: 0.82 to 1.34; P <0.001) compared to Omani nationals. Finally, those with >15 years’ work experience scored significantly higher on knowledge (mean = −0.60, 95% CI: −1.12 to −0.08; P = 0.025) and attitude (mean = −0.99, 95% CI: −1.87 to −0.10; P = 0.029) compared to those with less experience. Conclusion: The high rate of HIV-related stigma among HCWs in Oman should be rectified in order to achieve the 90-90-90 target set by the Joint United Nations Programme on HIV/AIDS.Keywords: HIV; Social Stigma; Social Discrimination; Knowledge; Attitude; Professional Practice; Healthcare Providers; Oman.
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Garg, Parul. "Knowledge, attitude and practice of contraception among nursing and para-medical staff in a tertiary care hospital of Mathura, Uttar Pradesh, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 6 (2020): 2234. http://dx.doi.org/10.18203/2320-1770.ijrcog20202044.
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Background: The objective of this study was to study the knowledge, attitude and practice of contraception among nursing and para-medical staff in a tertiary care hospital and also to identify factors that are associated with non-usage of contraception.Methods: The study was conducted on 100 nursing and paramedical staff working at K. D. Medical College and associated hospital at Mathura from November 2019 to January 2020. After obtaining consent, randomly selected married nursing and paramedical staff were given a pre-designed, structured questionnaire on socio-demographic variables, knowledge, attitude and practice towards contraception.Results: In the present study, out of 100 participants, 89 had awareness of contraception. Majority of them knew about condoms, followed by Copper-T/multiload and OCPs. The knowledge about contraception was mainly obtained through social media and health professionals.Conclusions: Health care providers should be equipped with recent information on all the available family planning methods through intensive in-service trainings, seminars/conferences, etc. This will get them informed and all misconceptions will be erased and in turn each health care provider will be able to make informed choice from the various options of family planning methods and practice the best suitable method.
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Choden, Karma, and Nidup Dorji. "Knowledge, Attitude and Practice of nurse-midwives on the use of partograph in health care centres of Bhutan." Bhutan Health Journal 7, no. 1 (2021): 10–15. http://dx.doi.org/10.47811/bhj.114.
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Introduction: World Health Organization recommends using partograph to reduce maternal and neonatal deaths due to obstetric complications. Proper utilization of partograph by health care providers was noted to be good when it is associated with better knowledge and a positive attitude towards partograph. There is a paucity of scientific study about knowledge, attitude and practice on the use of partograph among healthcare providers in Bhutan. Therefore, this study aimed to assess the knowledge, attitude and practice of nurse-midwives on the use and completeness of partograph in seven hospitals and one Basic Health Unit grade I. Methods: A descriptive study was carried out from September 2017 to February 2018. Non-probability sampling method was used to survey all nurse-midwives who attended deliveries in the selected health facilities using a standard semi-structured questionnaire. All partographs filled three months before the data collection was selected purposefully and reviewed using a checklist. Results: A total of 96 participants consisting of 66 (68.8%) females and 30(31.3%) males consented for the survey. Good knowledge of partograph was reported among 48(50%) of the participants with a mean score of 12.1 (SD: ± 1.52). Attitude on the usage of partograph was found to be favorable with a median of 42 (range 32-48). Partograph usage was reported by 86 (89.6%) while only 10.4% reported having received in-service training on partograph. Out of 426 partographs reviewed, only 68 (16.0%) were found to be complete. Conclusions: Despite the encouraging findings on the use of partograph, completeness of the partograph was very low. This study therefore, recommends the reinforcement of knowledge and practice through periodic continuous medical education and auditing of the partographs.
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Pradhan, Manohar, and Nuwadatta Subedi. "Attitude and perception of medical interns towards abortion in a teaching hospital in central Nepal." Journal of College of Medical Sciences-Nepal 12, no. 3 (2016): 123–26. http://dx.doi.org/10.3126/jcmsn.v12i3.16017.
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Background & Objectives: The objectives the study was to explore the, attitude and perception of medical interns, who are in the verge of being registered medical practitioners about abortion care services in Nepal.Materials & Methods: This is a questionnaire based descriptive-cross-sectional study conducted among the 96 interns of the College of Medical Sciences. The questionnaire was semi structured consisting of questions on self-assessed educational program characteristics, attitudes and perceptions regarding abortions in the context of Nepal.Results: The response rate of the participants was 88.07%. The mean age of the respondents was 24.43±1.449 years. A total of 65 (67.7%) responded that the topic of reproductive health was adequately covered in their course of study and 31 (32.3%) opined that the topic was somewhat covered. Only two of the respondents self-assessed that their theoretical knowledge of sexual and reproductive health was very good while 68 (70.8%) told that it was good and 26 (27.1%) graded themselves as having just fair knowledge in the field. Twenty four (25.0%) responded that they had clinical practice in abortion care services during their course of study. Conclusion: The medical interns had been adequately exposed to the reproductive health though they had less clinical practice on abortion care services. The attitude and perceptions of the future health care providers should be understood to properly orient them to the clinical practice.
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Tshitenge, S. T., K. Nlisi, V. Setlhare, and R. Ogundipe. "Knowledge, attitudes and practice of healthcare providers regarding contraceptive use in adolescence in Mahalapye, Botswana." South African Family Practice 60, no. 6 (2018): 39. http://dx.doi.org/10.4102/safp.v60i6.4928.
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Introduction: Adolescent pregnancy is a global public health problem, for which healthcare providers (HCPs) play a critical role to prevent unintended pregnancy. This study investigated the knowledge, attitude and practice (KAP) of HCPs towards the use of contraceptives in adolescents.Results: Of the 101 eligible for the study, 79.2% HCPs from the selected clinics and hospital responded. The majority (91.2%) of respondents felt confident to explain to adolescents how to use old contraceptive methods such as oral contraceptives or IUCD, less than half of the respondents (41.3%) were confident to explain how to use new contraceptive methods such as transdermal contraceptive patches or vaginal rings. Medical doctors felt more confident to prescribe new contraceptive methods compared with nurses, both vaginal rings (p-value = 0.0006) and transdermal contraceptive patches (p-value = 0.0003). More than two-thirds of the respondents disagreed that beliefs influenced their ability to offer contraceptive services to adolescents, half of the respondents strongly disagreed that it was morally wrong for adolescents to use contraceptives. Although three-quarters of respondents strongly agreed (median = 5, [IQR 5–6]) that they were comfortable with prescribing contraceptives to adolescents, only 23% of the respondents very much prescribed or always prescribed contraceptives to adolescents.Conclusion: Most of the HCPs prescribed contraceptives irregularly, and had limited knowledge about newer methods. To change HCPs’ KAP, in addition to continuing medical education (CME), the establishment of family planning clinics for adolescents and more undergraduate contraceptive teaching for medical and nursing students could result in the increased utilisation of contraceptive services by adolescents.
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Patka, Mazna, Christopher B. Keys, David B. Henry, and Katherine E. McDonald. "Attitudes of Pakistani Community Members and Staff Toward People with Intellectual Disability." American Journal on Intellectual and Developmental Disabilities 118, no. 1 (2013): 32–43. http://dx.doi.org/10.1352/1944-7558-118.1.32.
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Abstract The acceptance and inclusion of persons with intellectual disability can vary across cultures, and understanding attitudes can provide insight into such variation. To our knowledge, no previous study has explored attitudes toward people with intellectual disability among Pakistani community members and disability service providers. We administered the Community Living Attitudes Scale (Henry et al., 1996), a measure of attitudes toward people with intellectual disability developed in the United States, to 262 community members and 190 disability service providers in Pakistan. Confirmatory factor analysis found a 4-factor solution (empowerment, similarity, exclusion, and sheltering) fit the Pakistani sample. More positive attitudes were observed in staff serving people with intellectual disability, females, Christians, Hindus, Sunnis, and people with greater education. We discuss implications for research, theory, and practice.
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Cesario, Sandra K. "Nurses’ Attitudes and Knowledge of Their Roles in Newborn Abandonment." Journal of Perinatal Education 12, no. 2 (2003): 31–40. http://dx.doi.org/10.1891/1058-1243.12.2.31.
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The practice of abandoning newborns shortly after birth has always existed. Occurring in primitive and contemporary societies, the motivations for newborn abandonment are varied and dependent upon the social norms of a specific geographic region at a given point in time. Because the desire to abandon an infant has had no support system in American society, such unwanted infants have been abandoned in a manner leading to their deaths. In response, many states have passed safe-haven legislation to save the lives of unwanted newborns. The laws typically specify a mother’s ability to “abandon” her child to a medical service provider. However, judgmental attitudes and a lack of accurate information may impede a health care provider’s ability to carry out a safe-haven law. The study described here examines a sample of nurses in a state with a safe-haven law. The study revealed no significant correlation between a nurse’s knowledge, attitude, and self-perception of preparedness to manage a newborn abandonment event. However, the outcomes highlight the negative attitudes and lack of knowledge many nurses possess regarding newborn abandonment and the women who commit this act. Educational programs for all health care providers and the community are essential to the efficacy of the legislation that currently exists. Continued multidisciplinary strategizing and general awareness are needed to serve as catalysts to build supports for unwanted newborns and their safe assimilation into the community.
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Boen, Randall, and Derek Ruiz. "Graduate Education in Rehabilitation Counseling and the Stigma of Mental Illness: A Review of the Literature." Journal of Applied Rehabilitation Counseling 52, no. 1 (2021): 26–33. http://dx.doi.org/10.1891/jarc-d-20-00005.
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The Rehabilitation Counseling profession has foundations in disability awareness and acknowledges disability stigma as a barrier to full participation. Graduate-level rehabilitation counseling programs assist students with self-evaluation and examination of attitudes toward individuals with disabilities. Effective service providers are seen as having knowledge of how social attitudes play a part in issue of inclusion and full participation. Mental health is an area that has historically drew considerable attention. However, barriers to effective service delivery still persist and may include the stigma toward individuals with mental illness. Attitude formation and the implications of stigma will be provided in this conceptual article. This literature review will include an overview of factors that may contribute to stigmatizing reactions. Recommendations for graduate educational programs are discussed including best practices. These include creating a learning environment that focuses on student's awareness, knowledge, and skills surrounding issues that affect individuals with severe and persistent mental illness.
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Deki, Sonam, and Jigme Choden. "Assess Knowledge, Attitude and Practices of Respectful Maternity Care among nurse midwives in Referral Hospitals of Bhutan." Bhutan Health Journal 4, no. 1 (2018): 1–7. http://dx.doi.org/10.47811/bhj.50.
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Introduction: Respectful Maternity Care (RMC) acknowledges that respects for woman’s rights, choices and dignity during labor and childbirth is vital component of health care quality. This cross-sectional descriptive study intended to gain in-depth understanding on knowledge, attitude and practices of nurse midwives working in referral hospitals of Bhutan on RMC. The study also looked into determinants of RMC.
Methods: The sample consisted of 83 nurse midwives who were working in birthing and maternity unit of three regional referral hospitals of Bhutan. The sites were chosen purposefully due to their high delivery volume. A survey instrument was piloted in Paro hospital prior to study. Data was collected from July to October 2017. Analysis was mainly descriptive, simple percentages were used to calculate frequency distribution of aspects and determinants of respectful maternity care.
Results: Four in five of the respondents knew and practiced woman’s right to information and communication during childbirth process. However, providers were found lacking on some aspects of the knowledge and practices related to respecting choices and rights of the women during childbirth and recounted their experiences of observing events which are described as abusive in maternal health literatures. Inadequate facilities, overworked staffs and limited trainings were found as detrimental factors.
Conclusion: Aspects of RMC were not duly practiced. Providers must be made aware of the woman’s right to respectful care which is crucial to improve maternal health services. Individual Health Facility must provide conducive environment to practice RMC. Future studies on RMC from receiver end are recommended.
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Mauldon, Emily. "The Use of and Attitude Towards Telehealth in Rural Communities." Australian Journal of Primary Health 13, no. 3 (2007): 29. http://dx.doi.org/10.1071/py07035.
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This paper reports on the attitudes of a sample of health care providers towards the use of telehealth to support rural patients and integrate rural primary health and urban hospital care. Telehealth and other information technologies hold the promise of improving the quality of care for people in rural and remote areas and for supporting rural primary health care providers. While seemingly beneficial for rural patients, study participants believed that telehealth remains underused and poorly integrated into their practice. In general, participants thought that telehealth is potentially beneficial but places constraints on their activities, and few actually used it. Published literature usually reports either on the success of telehealth pilot projects or initiatives that are well resourced and do not reflect the constraints of routine practice, or has an international focus limiting its relevance to the Australian context. Because of the paucity of systematic and generalisable research into the effects of the routine use of telehealth to support rural patients, it is unclear why health care professionals choose to provide such services or the costs and benefits they incur in doing so. Research and policy initiatives continue to be needed to identify the impact of telehealth within the context of Australian primary health care and to develop strategies to support its use.
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Thadeus, Willcliff K., and Lawrencia D. Mushi. "Health care professional knowledge and attitude towards the use of digital technologies in provision of maternal health services at Tumbi regional referral hospital in Tanzania." Journal of Medical Research and Innovation 5, no. 1 (2020): e000233. http://dx.doi.org/10.32892/jmri.233.
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Objectives: In recent years Tanzania introduced digital technologies in health industry where several initiatives such as Government of Tanzania, Hospital Management Information System (GoT-HoMIS) along other digital devices are taken to ensure quality services delivery. The purpose of this study was to assess Health Care Providers (HCPs) knowledge and attitude towards the use of Digital Health Technology (DHT) in provision of maternal health services at Tumbi Regional Referral Hospital (TRRH).
Methods: Descriptive cross-sectional design involving 50 purposively selected HCPs from obstetrics and gynecology department was used. A self-administered questionnaire and direct field observation was used to collect data from respondents. Data were analyzed using SPSS V.20 and presented by using tables, percentages and frequencies.
Results: We found that, DHT are highly used by HCPs 49(98%). Also, DHT devices are available and functioning properly thus used in providing maternal health services by enhancing effective patient management. 43(86%) of HCPs were aware on DHT practice and about 46(92%) understood the use of DHT in provision of maternal health services despite of varying knowledge level. On the side of attitude, we found that, 43(86%) of the HCP had a positive attitude on the use of DHT.
Conclusion: Knowledge, attitudes and rate of use of DHT by HCP was found to be good, despite notable challenges such as dependent on the internet signals for their proper functioning. More initiatives should be undertaken by the Ministry of Health, Community and other stakeholders to promote DHT practices in the health facilities.
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Gething, Lindsay. "Growing Older with an Intellectual Disability." Australian Journal of Rehabilitation Counselling 6, no. 2 (2000): 57–66. http://dx.doi.org/10.1017/s1323892200000892.
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Both the life expectancy and numbers of older people with intellectual disabilities are growing. Until recently, ageing with a disability had not been a major consideration for Australian policy makers and service providers. The situation was similar in countries such as the United States of America and United Kingdom where, unlike aged care, disability policy and practice had not evolved to meet needs. Ageing with long standing disability has now been specified by the Australian government as a priority area. This paper reports results of consultations held with consumers, their organisations, service providers and government in order to explore quality of life and service provision issues for people with long standing disabilities. It reports these issues and uses themes emerging from consultations to structure previously published information specifically related to ageing with an intellectual disability. Seven broad themes are discussed which relate to: life experiences; attitudes, skills and knowledge of consumers; attitudes skills and knowledge of community and service providers, the nature of service provision; the ageing of family care givers; financial security; and ageing in place. It is concluded that disadvantages and barriers experienced throughout life influence well being and quality of life in old age.
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Vishwakarma, Soniya, Rajani Rawat, Nupur Mittal, and Pragya Shree. "Knowledge, attitude and practices about cervical cancer screening among nursing staff in rural tertiary care center." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 9 (2018): 3796. http://dx.doi.org/10.18203/2320-1770.ijrcog20183797.
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Background: Cervical cancer is the second most common cancer among women worldwide. The knowledge and attitude of nursing personnel towards cervical cancer screening can grossly influence the community. As the doctor to patient ratio is low in India, staff nurses if trained can act both as health educators and service providers. Objectives of the study were to determine the baseline information about the knowledge of cervical cancer and explore attitude and practice of Pap smear screening among staff nurses.Methods: In this cross-sectional study sample of 100 nurses was selected randomly out of the total 445 nurses employed in the hospital at a rural tertiary care centre from August 2016 to October 2016. A self-administered, structured, open ended and pretested questionnaire comprising of questions on the general characteristics, awareness, perceptions and actual practices of nursing personnel was used to gather information about cervical screening.Results: In this study, 82% knew that Pap smear can detect cancer. About 48% knew that it can present as post-menopausal bleeding and 32% of the respondents knew that HPV is a risk factor for cancer cervix, but only 30% knew about HPV vaccine and only 35% have ever been screened.Conclusions: The study showed that, knowledge about cancer cervix, screening and practice of Pap smear is low among nursing staff. There is an urgent need for integration of cervical cancer prevention issues in the nurses existing training curriculum.
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Tuan Hairulnizam Tuan Kamauzaman, Mohd Faqhroll Mustaqim Mohd Fudzi, Mohd Najib Abdul Ghani, and Hafizah Ibrahim. "THE POSITIVE EFFECT OF AN INTEGRATED MEDICAL RESPONSE PROTOCOL ON THE KNOWLEDGE, ATTITUDE AND PRACTICE OF MEDICAL RESPONSE DURING FLOOD DISASTER AMONG HEALTHCARE PROVIDERS IN KELANTAN: A SIMULATION-BASED RANDOMIZED CONTROLLED TRIAL." Malaysian Journal of Public Health Medicine 19, no. 1 (2019): 64–74. http://dx.doi.org/10.37268/mjphm/vol.19/no.1/art.38.
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The Integrated Medical Response protocol (IMP) is a new protocol of medical response during the response phase of a flood disaster in Kelantan, Malaysia. It integrates response workflows of various rescue agencies involved in patient care during response phase of flood disaster. Traditionally, health care services in this region used either an all-hazard protocol or those not specific to Kelantan. The present study is aimed to test the effectiveness of IMP on knowledge, attitude and practice of healthcare providers (HCP) involved in managing patients during flood disaster in Kelantan. This study was a prospective parallel group, single blinded, randomized controlled trial. The unit of randomization was the district within Kelantan on a 1:1 basis into either the control or intervention group using cluster randomized method. The hospitals within the district were subsequently assigned to the allocated group. Investigators were blinded to the assignments. The knowledge, attitude and practice scores of HCP were assessed by FloodDMQ-BM© and was evaluated 2 weeks before and immediately after a flood disaster table-top exercise. Data was analyzed using two-way repeated measure ANOVA. Our findings showed that intervention was essential to improve the knowledge [F (1,100) = 6.947, p-value 0.010 (<0.05)] and attitude scores [F (1,100) = 31.56, p-value 0.001]. Meanwhile, practice score was improved in both control and intervention group with time [F (1,100) = 226.56, p-value 0.001]. Thus, our localized IMP specific to response phase of flood disaster was crucial to further enhance the knowledge and attitude levels among HCP while practice level showed similar improvement in both control and intervention group post table-top exercise.
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Acharya, Shashidhar, Harsimran Kaur, and Shobha Tandon. "Utilization of Mobile Dental Health Care Services to Answer the Oral Health Needs of Rural Population." Journal of Oral Health and Community Dentistry 6, no. 2 (2012): 56–63. http://dx.doi.org/10.5005/johcd-6-2-56.
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ABSTRACT Aim The activity was undertaken with the objective to assess the utility of a Mobile Dental Clinic to provide oral health services to the rural population. Material & Methods Baseline data collection of subjects was conducted according to the knowledge, attitude, practices and satisfaction proformas at Brahmavara and Byndoor community health centre catchment areas. Oral Health Education through models, video presentation and audio conversations were given to all subjects. Basic treatment was provided to all the subjects recruited for the study. The use and services of mobile dental clinics for oral health care services definitely showed lot of enthusiasm amongst the rural people. They were motivated to listen to oral health education lessons and avail the various oral treatments. Results There 3 month evaluation scores showed better satisfaction and also showed improved knowledge, attitude and practices. These differences were statistically supported by analysis. Conclusion To conclude, the mobile dental clinic proved to be an effective adjunct to the oral health service providers like dental colleges and private practitioners. They act as the first form of exposure to educate the rural people and alleviate their apprehensions towards oral health care.
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Rajeswari Ramasamy, Guru Prasad Mohanta, Shobha Rani R Hiremath, Raman Dang, Chandramouli R, and Manjiri S Gharat. "Assessing the Change of Community Pharmacist’s Knowledge on Tuberculosis and Attitude to practice as a Tuberculosis DOTS provider after an Educational Intervention." International Journal of Research in Pharmaceutical Sciences 11, no. 4 (2020): 7593–99. http://dx.doi.org/10.26452/ijrps.v11i4.4008.
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Government of India officially launched Directly Observed Treatment-Short course (DOTS) strategy in 1997 to offer better Tuberculosis (TB) care services under Revised National Tuberculosis Control Program (RNTCP). Under this strategy, DOTS providers need to observe and assist the tuberculosis patient to take their DOTS medicine and document the same after each dosing. As part of Public-Private Mix (PPM) partnership under RNTCP, Community Pharmacists (CPs) needs be trained to observe DOTS.This study was aimed to assess the change of CPs basic knowledge on tuberculosis; and attitude to practice as TB-DOTS provider after an educational intervention. Pretest and post test were carried out for 149 participants, to measure the changes in their TB Knowledge and attitude. The changes in the proportions of choices the subjects were analyzed using inferential statistical tests. It was evident from our study that CPs in spite of their knowledge about the TB and the pathogenesis, they were found largely unaware of the Government DOTS-TB treatment national policy and the role they can play in their private practice setups
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Oswald, Austin, Nancy Giunta, Tim Johnston, and Sherrill Wayland. "Evaluating the Impact of State Policy Interventions for LGBT Aging: Comparative Case Study of New York and California." Innovation in Aging 4, Supplement_1 (2020): 674. http://dx.doi.org/10.1093/geroni/igaa057.2340.
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Abstract The majority of aging network service providers are unprepared to deliver targeted services to lesbian, gay, bisexual, or transgender (LGBT) older adults. In 2017, California legislature mandated ongoing LGBT sensitivity training for congregate living providers. Services and Advocacy for GLBT Elders (SAGE) developed a specialized training, Creating Inclusive Communities, for congregate living staff to learn the unique needs of LGBT elders. This secondary data analysis compared pre-test knowledge and attitudes of training participants in two states, one mandating LGBT aging sensitivity training (California, N=328) and one without the mandate (New York, N=622). Preliminary results show that prior to receiving training, California participants demonstrate significantly less knowledge of LGBT aging issues compared to New York participants; t(948)=-3.808, p<.001. Attitudinal differences were also demonstrated. These results suggest that laws mandating LGBT sensitivity training may help reach providers with greater training needs. Policy and practice implications will be discussed. Part of a symposium sponsored by Rainbow Research Group Interest Group.
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Aksa, Rahadian. "DISCRIMINATION OF PUBLIC SERVICE IN POPULATION AND CIVIL REGISTRATION AGENCY NORTH LAMPUNG REGENCY." NATAPRAJA 6, no. 1 (2018): 11. http://dx.doi.org/10.21831/jnp.v6i1.20702.
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The objective of this research is to determine the forms and causes of discrimination in the services delivery provision of North Lampung population and civil registration agency. The research was a descriptive qualitative. Research results showed the prevalence of discriminatory practices in the delivery of services in the Population and Civil Registration agency in North Lampung Regency. Dissemination took forms of time required, and cost incurred to obtain services, attitude of service providers, and procedures that differed between those that applied to ordinary citizens (long and tedious) and for others (short and quick) that included the rich, officials, community leaders and relatives or acquaintances of population and civil registration agency. However, there was no evidence of discrimination in service delivery that was based on race and religion. Culture, as manifested in paternalistic form and bureaucratic hierarchy was the main cause of discrimination in the services delivery in population and civil registration agency. Thus, paternalism and bureaucracy culture underlie favoritism accorded to officials and rulers, individuals in key positions of government and society, and relatives and acquaintances of employees in the agency as opposed to other members of society.
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Afe, Abayomi Joseph, Adefunke Adetula, Olugbemiga Peter, Oluwalusi Ebenezer, and Omolola Olonisakin. "Knowledge, Attitude and Practice of Healthcare Workers Towards Availability of Antiretroviral Pre-Exposure Prohylaxis in Nigeria." Journal of Clinical Research In HIV AIDS And Prevention 3, no. 3 (2018): 46–59. http://dx.doi.org/10.14302/issn.2324-7339.jcrhap-18-2333.
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Introduction: The introduction of preexposure prophylaxis (PrEP) against incident HIV infection has changed the epidemiology of disease as continuous treatment with tenofovir and emtricitabine among high risk groups can reduce the relative risk for incident HIV infection by over 90%.However,despite the approved use of TDF+FTC, as a fixed dose combination of emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg, for oral PrEP since 2012 , it does not appear to have become widely accepted and in use among healthcare workers especially those in low income countries. Researches are therefore needed to consider the awareness and practice of health workers towards the availability of PrEP services in this part of the world. Healthcare workers are expected to be promoters of the use of PrEP services. Method: A cross sectional questionnaire-based study conducted in southern Nigerian over a 6 months period. Data were collected from 250 healthcare workers using interviewer-administered questionnaires. The data analysis was done using statistical package for the social sciences (SPSS) for windows version 20.0 software (SPSS Inc; Chicago, IL, USA). Frequency counts were generated for all variables and statistical test of significance was performed with chi-square test. Significance was fixed at P < 0.05 and highly significance if P < 0.01. Results: A high proportion of the respondents(>60%) were highly educated healthcare workers(majorly Nurses and medical doctors) and about half (55%) having at least 10yrs working experience in the health sector with most especially on the HIV program(>90%), majority (94%) of the health workers were aware about ARV pre-exposure prophylaxis but very few ( 6% )could give the standard definition for PrEP as the use of ARV drugs by HIV negative persons to prevent the acquisition of HIV.Most(67%) of them gave wrong definition for PrEP and worse still about one fifth (20%) had no idea what PrEP was all about. Most (70%) could not correctly identify all the ARV drugs in a standard PrEP regimen while about 35% had no idea at all of the approved ARVs used for PrEP. Though PrEP services was not available at any of the facilities where the respondents were working ,the approved drugs(TDF+FTC) for PrEP were available at about 40% of the health facilities(public and private) and 15% community pharmacies in the vicinity of the respondents . Only 60% of the respondents were willing to access PrEP service for themselves if indicated while 35% would not use such services even if it is indicated for reasons which include concern about adverse effects and safety.Awareness of PrEP was significantly associated with the ability of the healthcare workers to identify the correct ARV regimen, ARV dosages and also correct indication for PrEP. Awareness was also associated with the knowledge of the correct proven efficacy for PrEP(>95%) and high likelihood of seeing a patient placed on PrEP and willingness to use PrEP based on personal indication Conclusion: The level of awareness of PrEP among healthcare workers was very high at about 90% yet many(60%) could not give correct standard definitions of PrEP, PrEP ARV regimen, dosages and level of efficacy of PrEP. Also none of the respondent had PrEP services available either at their center or any known referral centers. This is unacceptable in a country with second highest HIV burden in the world and has adopted PrEP in her national HIV guideline with ongoing PrEP demonstration studies. The few healthcare workers who were able to mentioned this information were more likely to have seen a patient placed on PrEP and were more willing to use PrEP based on personal indication. Recommendations: There is need to deepen the and knowledge of PrEP among healthcare workers especially those in poor resource settings by engaging them through update courses outreach, educational resources, campaigns/seminars and workshops and various job aids. All healthcare service providers should be very comfortable to carry out HIV risk assessment of their clients and provide PrEP to those indicated directly or indirectly through referral
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Katernyuk, Аleksej V., and Elizaveta V. Mezhevaya. "ESTIMATING COMPETITIVENESS OF ADVERTISING COMPANY THROUGH INTEGRAL INDEXES." Vestnik of the Plekhanov Russian University of Economics, no. 3 (June 30, 2019): 176–84. http://dx.doi.org/10.21686/2413-2829-2019-3-176-184.
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The article studies a well-known integral methodology of estimating company competitiveness. It shows the possibility to use it in practice, in particular for advertising agencies. In order to estimate competitiveness such methods as formalization, comparison, modeling and sociometry were used. The author came to the conclusion about possible application of this methodology for advertising service assessment. Models used earlier for estimation of competitiveness were oriented to the product as a physical object with a number of characteristic s (from compliance with standards to subjective appraisal by customers). Assessment of service competitiveness includes both the attitude to the product (in case service rendering is connected with a physical product) and the attitude to the company that provides the service, which can be positive, if the process of sale/purchase was pleasant or adverse, if not. The author put forward an extended appraisal of features of the whole process of client servicing. In view of its practical application this algorithm can be used both by advertising agencies (market participants) and state bodies controlling competition of the market (such as the Federal Antitrust Service).
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Migliorini, Laura, Vittoria Romoli, and Paola Cardinali. "Social Workers and Families: An Italian Perspective on the Family-Centered Approach." Research on Social Work Practice 31, no. 4 (2021): 337–42. http://dx.doi.org/10.1177/1049731520985606.
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Purpose: The present work addresses the transformation process occurring within the services for minors regarding the relationship with families. This qualitative study aims to explore family-centered practice (FCA) by analyzing the practitioner's perceptions of social work with families in daily practice in the context of Italian social welfare. Methods: The authors conducted six focus groups with 38 social services workers and used grounded theory methods to elicit perceptions of the meaning and complexity of the transformation based on the statements of those performing social work with families. From the textual data, codes were identified and grouped into conceptual categories. Results: The authors defined two macro-categories called “Aims in practitioner's work with children and families” and “Tools in work with children and families”, which reflect the participants' attitudes and behaviors. Conclusion: Professionals and service providers can use our findings to reflect on current conceptualizations of family involvement and FCA in their work and to recognize possible psychological barriers to achieving family participation.
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Royer, Pamela A., Lenora M. Olson, Brandi Jackson, et al. "“In Africa, There Was No Family Planning. Every Year You Just Give Birth”: Family Planning Knowledge, Attitudes, and Practices Among Somali and Congolese Refugee Women After Resettlement to the United States." Qualitative Health Research 30, no. 3 (2019): 391–408. http://dx.doi.org/10.1177/1049732319861381.
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It is crucial for refugee service providers to understand the family planning knowledge, attitudes, and practices of refugee women following third country resettlement. Using an ethnographic approach rooted in Reproductive Justice, we conducted six focus groups that included 66 resettled Somali and Congolese women in a western United States (US) metropolitan area. We analyzed data using modified grounded theory. Three themes emerged within the family planning domain: (a) concepts of family, (b) fertility management, and (c) unintended pregnancy. We contextualized these themes within existing frameworks for refugee cultural transition under the analytic paradigms of “pronatalism and stable versus evolving family structure” and “active versus passive engagement with family planning.” Provision of just and equitable family planning care to resettled refugee women requires understanding cultural relativism, social determinants of health, and how lived experiences influence family planning conceptualization. We suggest a counseling approach and provider practice recommendations based on our study findings.
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Alblowi, Jazia A. "Perception of Tobacco Counseling and Cessation among Dental Practitioners." Journal of Smoking Cessation 2021 (March 15, 2021): 1–7. http://dx.doi.org/10.1155/2021/6692525.
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Objective. To investigate the knowledge and practice of tobacco cessation and counseling (TCC) among dental practitioners and their attitude and perceived barriers. Methods. A cross-sectional study targeted licensed dental practitioners in Jeddah, Saudi Arabia. Participants answered a pretested and validated self-administered questionnaire consisted of demographic data; smoking status; knowledge of tobacco hazards, attitude, and practice; and perceived barriers of tobacco cessation counseling. Result. Among the total sample of 529, response rate was 72.2% (mean age ( 34.20 ± 9.38 years ), males (42.4%), and current smokers (23.8%)). Only 13.2% received formal training on TCC. Around (57.1%) reported smoking of dental team as an obstacle for TCC. Half of the participants (49.9%) reported patient’s resistance as barrier to TCC. Others (45%–48%) reported insufficient time, knowledge, or training for TCC. Professional responsibility and willingness to provide cessation services constituted the highest median. Conclusion. The majority showed willingness to participate in TCC. Lack of training, smoking status of providers, females, inadequate materials, and patients’ resistance were the most common barriers. Education and training on TCC are recommended and should be allowed as a routine practice in dentistry.
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Lapcevic, Mirjana, Ivan Dimitrijevic, Jelena Ristic, Mira Vukovic, Radivoje Nikolic, and Petar Stanojevic. "Factors influencing general practitioners and specialists of general practice to declare in favor of accepting the role of family doctors." Srpski arhiv za celokupno lekarstvo 134, Suppl. 2 (2006): 128–34. http://dx.doi.org/10.2298/sarh06s2128l.
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INTRODUCTION. Protection and promotion of health of an individual, family and society as the whole depends on the organization and efficiency of the public health service. Modern health service is focused on the health prevention and improvement of the family which is the basic unit of society. The life cycle of the family indicates crisis related to development and underdevelopment as well as some expected and unexpected life situations and this is very important when discussing about many somatic and mental diseases. objective The objective of our project which included 473 specialists of general practice and 355 general practitioners was to determine the factors which influence the positive attitude of the general practitioners about becoming a family doctor. METHOD. A total of 828 doctors in Serbia were required to answer the set of eight questions. Statistical analysis included Pearson chi square test with contingency tables and logistic regression, while dependent variable was doctor?s attitude about becoming a family doctor in a certain situation. The answer ?no? or ?I don?t know? was scored 1 point and the ?yes? answer was graded 2 points. Eight questions mentioned above were independent variables. RESULTS. Logistic model accounting for 79.3% of dependent variable was obtained. Positive attitude of doctors was very much affected by family problems and great majority of these doctors were specialists of general practice. Other questions were not so important for our results. CONCLUSION. Specialists of general practice, regardless of their working experience and years of practice, gave significantly more positive answers, and the situation was quite opposite with general practitioners. Family medicine supported by modern information systems provides ideal model of comprehensive and complete health prevention with high level of rationalism, quality, efficiency and cost-effectiveness.
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Suhrheinrich, Jessica, Melina Melgarejo, Brittney Root, Gregory A. Aarons, and Lauren Brookman-Frazee. "Implementation of school-based services for students with autism: Barriers and facilitators across urban and rural districts and phases of implementation." Autism 25, no. 8 (2021): 2291–304. http://dx.doi.org/10.1177/13623613211016729.
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Research regarding variables influencing evidence-based practice implementation within school services for students with autism spectrum disorder is limited. Using qualitative methods, the current study applies the Exploration, Preparation, Implementation, and Sustainment framework to characterize factors impacting the implementation of practices for students with autism spectrum disorder across urban and rural school districts. The guiding questions of the study include: (1) Are contextual factors perceived as barriers or facilitators, and do these perceptions vary by district location? and (2) What are the key factors impacting implementation across the Exploration, Preparation, Implementation, and Sustainment phases? Focus group participants ( n = 33) were service providers to children with autism spectrum disorder from urban- and rural-located school districts. Several personnel-related themes (attitudes and buy-in, knowledge and skills, staffing, and burnout) were shared by participants representing both urban and rural districts. However, some themes related to system and organizational factors (leadership approval, support and expectations, district structure, competing priorities, time for effective professional development, litigation and due process, and materials and resources) differed between the district locations. This project serves as an initial step in understanding the current process of evidence-based practice implementation within the school context and may help identify intervention targets to include in implementation planning. Lay abstract The law requires that schools use evidence-based practices to educate students with autism spectrum disorder. However, these practices are often not used, or are not used correctly in school programs. Understanding barriers and facilitators of use of evidence-based practices in schools will help improve the implementation process. This study uses focus groups to characterize how school-based providers representing urban or rural school districts perceive barriers and facilitators for implementing new practices for students with autism spectrum disorder. Guiding questions include the following: (1) Are contextual factors perceived as barriers or facilitators and how do these vary by district location? and (2) What are the key factors impacting implementation across the Exploration, Preparation, Implementation, and Sustainment phases? Focus group participants ( n = 33) were service providers to children with autism spectrum disorder from urban- and rural-located school districts. Several personnel-related themes (attitudes and buy-in, knowledge and skills, staffing, and burnout) were shared by participants representing both urban and rural districts. However, some personnel-related themes and organizational factors were unique to rural or urban districts. For example, themes related to system and organizational factors (leadership approval, support and expectations, district structure, competing priorities, time for effective professional development, litigation and due process, and materials and resources) differed between the district locations. This project serves as an initial step in identifying implementation strategies that may improve the use of evidence-based practices in schools.
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Iliffe, S., H. V. Curran, R. Collins, S. C. Yuen Kee, S. Fletcher, and B. Woods. "Attitudes to long-term use of benzodiazepine hypnotics by older people in general practice: findings from interviews with service users and providers." Aging & Mental Health 8, no. 3 (2004): 242–48. http://dx.doi.org/10.1080/13607860410001669778.
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Li, Yuping, Weijuan Gong, Xiang Kong, Olaf Mueller, and Guangyu Lu. "Factors Associated with Outpatient Satisfaction in Tertiary Hospitals in China: A Systematic Review." International Journal of Environmental Research and Public Health 17, no. 19 (2020): 7070. http://dx.doi.org/10.3390/ijerph17197070.
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Outpatient care is made up of medical procedures, tests, and services that can be provided to the patient in a setting that doesn’t involve an overnight hospital stay. In China, tertiary hospitals are medical services centers of health care systems, and some tertiary hospitals had more than 20,000 outpatient visits per day. However, a systematic review of existed evidence on factors influencing the outpatient satisfaction in tertiary hospitals in China could inform the efforts and does not yet exist. Therefore, in order to better understand the outpatient satisfaction provided by tertiary hospitals in China, we carried out a systematic review following PRISMA guidelines. Studies reporting on the level of and factors associated with outpatient satisfaction in Chinese tertiary hospitals were systematically searched in both Chinese and English electronic databases. A total of 36 articles reported 35 studies that met the inclusion criteria. Out of these eight were household surveys covering 12,119 residents, and another 27 directly interviewed 45,930 outpatients during their hospital visits from 185 hospitals. The included studies generally used self-designed questionnaire and indicated there is a lack of standardized questionnaire for investigating outpatient satisfaction in China. The outpatients showed the highest satisfaction with the doctors and nurses and the lowest satisfaction with the hospital hygiene and outpatient procedures, especially with the long waiting time. The socio-demographic characteristics (e.g., age, marital status, income and education levels), professional skills and service attitudes of medical staff were reported to be associated with outpatient satisfaction. The results indicated that in China, the outpatient satisfaction can be largely improved. Firstly, the attitude of medical service providers, especially the pre-diagnosis nurses, registration officers, and pharmaceutical counters should be improved. Furthermore, to shorten the waiting time, policies should be developed to guide patients with common diseases and slight discomforts to community health systems to alleviate the overload in tertiary hospitals. Considering the strained relations between the doctors and patients in the clinical practice, improving patient satisfaction in China deserves more attention and research.
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Segon, Ankur, Yogita Segon, Vivek Kumar, and Hirotaka Kato. "A Qualitative Exploration to Understand Hospitalists’ Attitude Toward the Patient Experience Scoring System." Journal of Patient Experience 7, no. 6 (2020): 1036–43. http://dx.doi.org/10.1177/2374373520942418.
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Patient’s perception of their inpatient experience is measured by the Center for Medical Services’ (CMS) administered Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS) survey. There is scant existing literature on physicians’ perceptions toward the HCAHPS scoring system. Understanding hospitalist knowledge and attitude toward the HCAHPS survey can help guide efforts to impact HCAHPS survey scores by improving the patient’s perception of their hospital experience. The goal of this study is to explore hospitalists’ knowledge and perspective of the physician communication domain of the HCAHPS survey at an academic medical center. Seven hospitalists at an academic medical center were interviewed for this report using a semistructured interview. Thematic analysis approach was used to analyze data. Open, line-by-line coding was performed on all 7 transcripts. Categories were derived in an inductive fashion. Categories were refined using the techniques of constant comparison and axial coding. We generated themes reflecting hospitalists’ knowledge of the HCAHPS scoring system, their perception of the HCAHPS scoring system and the impact of the HCAHPS scoring system on their practice. While hospitalists acknowledged physician–patient communication is a challenging area to study, they are unlikely to embrace the feedback provided by HCAHPS surveys. There is a need to deploy tactics that provide timely and actionable feedback to providers on their bedside communication skills.
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Lateef, Adepeju M., and Euphemia M. Mhlongo. "Trends in Patient-Centered Care in South West Nigeria: A Holistic Assessment of the Nurses Perception of Primary Healthcare Practice." Global Journal of Health Science 12, no. 6 (2020): 73. http://dx.doi.org/10.5539/gjhs.v12n6p73.
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BACKGROUND: A key dimension of a quality healthcare to patients is patient-centered care approach which is increasingly gaining recognition worldwide. However, this concept is not fully implemented in practice.
AIM: The aim of this study is to provide outcomes from assessment of nurses’ perceptions about patient-centered care and the current trends in Primary Health Care system in South West Nigeria.
METHODS: This study employed a qualitative participatory action research study approach and conducted a semi-structured individual interview with thirty-five nurses and four focus group discussions in Osun State South West Nigeria Primary Health Care centres.
RESULTS: Primary Health Care (PHC) nurses perceived and described patient-centered care (PCC) as a global approach to improve and enhance nursing care to foster patient participation. The narratives were categorised into two: positive and negative perception. Ten main themes emerged: (I) Attitude of the nurses (ii) Lack of enforcement and implementation, (iii) Experience of the nurses, (iv) Quality-Caring, (v) Effective communication with patient, (vi) Motivated and Proactive healthcare, (vii) Sharpen the form of care, (viii) Outcome and after-effect driven healthcare, (ix) Approved support, and (x) Guarantor of service and motivation.
CONCLUSION: Our participatory action research study on the assessment of nurses’ perception on the utilization of PCC at the PHC for effective and quality healthcare service revealed the importance of nurses’ role, acceptability of PCC and current nursing care practice at the Primary Health Care (PHC) rural community setting. Nurses as healthcare providers expressed PCC as a common and global approach that would enhance patient experiences and improves the quality of nursing healthcare delivery through integration of PCC and healthcare service at the PHC healthcare system.
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Muñoz, Karen, Lauri Nelson, Kristina Blaiser, Tanner Price, and Michael Twohig. "Improving Support for Parents of Children with Hearing Loss: Provider Training on Use of Targeted Communication Strategies." Journal of the American Academy of Audiology 26, no. 02 (2015): 116–27. http://dx.doi.org/10.3766/jaaa.26.2.2.
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Background: When proper protocols are followed, children who are identified with a permanent hearing loss early in life have opportunities to develop language on par with their typical hearing peers. Young children with hearing loss are dependent on their parents to manage intervention during early years critical to their development, and parents’ ability to effectively integrate recommendations in daily life is foundational for intervention success. Audiologists and early intervention professionals not only need to provide current evidence-based services, but also must address parents’ emotional and learning needs related to their child’s hearing loss. Purpose: This study explored practice patterns related to education and support provided to parents of children with hearing loss and the influence of an in-service training on provider attitudes. Research Design: This study used a prepost design with a self-report questionnaire to identify practice patterns related to communication skills and support used by providers when working with parents of children with hearing loss. Study Sample: A total of 45 participants (21 professionals and 24 graduate students) currently working with children completed the pretraining questionnaire, and 29 participants (13 professionals and 16 graduate students) completed the postquestionnaire. Data Collection and Analysis: Data were collected using an online questionnaire before the training and 1 mo after training. Descriptive analyses were done to identify trends, and paired-samples t-tests were used to determine changes pretraining to posttraining. Results: Findings revealed that professionals most frequently teach skills to mothers (91%) and infrequently teach skills to fathers (19%) and other caregivers (10%). Professionals reported frequently collaborating with other intervention providers (76%) and infrequently collaborating with primary care physicians (19%). One-third of the professionals reported addressing symptoms of depression and anxiety as an interfering factor with the ability to implement management recommendations. For providers who completed both the prequestionnaires and postquestionnaires, an increase in confidence was reported for several areas of communication; however, as expected, practices remained similar, and all of the practicing professionals and 94% of the graduate students indicated a desire for more training on how to be effective in supporting parents with implementing intervention recommendations. Conclusions: Providers do not necessarily use effective methods of communication, needed to adequately help parents, requiring additional focused training to change how providers interact with parents and how support is provided.