scholarly journals Point-of-Care Testing in Community Pharmacies: A Mixed-Methods Study on Users and Pharmacists’ Facilitators and Barriers

2022 ◽  
Author(s):  
Inês Figueira ◽  
Inês Teixeira ◽  
António Teixeira Rodrigues ◽  
Ana Gama ◽  
Sónia Dias
Keyword(s):  
Mixed Methods ◽  
Point Of Care ◽  
Mixed Methods Study ◽  
Screening Tests ◽  
Community Pharmacies ◽  
Foreign Born ◽  
Virus Infections ◽  
Facilitators And Barriers ◽  
Point Of Care Tests ◽  
Hepatitis B Virus Infections

Abstract Background Point-of-care tests can contribute to earlier diagnosis and treatment of infectious diseases with the potential to prevent chronic stages. As part of the Fast-Track Cities initiative, a pilot was initiated in community pharmacies in Portugal. Aim To characterize the individuals using point-of-care screening tests for human immunodeficiency virus, hepatitis C and hepatitis B virus infections in community pharmacies, their behaviours and motivations to perform the tests, as well as understand the facilitators and barriers from the perspectives of pharmacists. Method A mixed-methods study was conducted. A survey was applied to test users in pharmacies between May and December 2019, and three focus groups were conducted with pharmacists involved in the initiative. Qualitative data were analysed according to thematic content analysis. Results A total of 210 questionnaires were collected. Point-of-care tests users were predominantly male, mean age of 35 years, the majority were foreign-born and had higher education level. Almost half of the users were first time tested and the main reason for screening was unprotected intercourse. Pharmacists identified speed, confidentiality, counselling provided to users, pharmacists’ initial training to perform the tests and trust in the pharmacist as facilitators of these tests. Stigma associated with infections, the procedure, logistical conditions and the referral process were considered as barriers. Conclusion Pharmacies are an effective screening site, with particular relevance for individuals who are first tested, heterosexuals and some migrants. Nevertheless, it is necessary to understand and reduce barriers and increase the support of specific groups.

Conducting a Mixed-Methods Study with Older Adults in Five Languages: Lessons from the Field

2020 ◽  
pp. 1-10
Author(s):  
Catherine E. Tong ◽  
Joanie Sims-Gould
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Mixed Methods ◽  
Research Team ◽  
Mixed Methods Study ◽  
Practical Implementation ◽  
Visible Minority ◽  
Foreign Born ◽  
Cultural Groups ◽  
Canadian Population

ABSTRACT One third of older adults in Canada are foreign-born, yet there is a dearth of literature on this population. When our team set out to engage in a mixed-methods study on the physical activity and mobility of foreign-born older adults (FBOAs), we found limited guidance. The objective of this Research Note is to share the lessons that we learned in implementing a mixed-methods study in five languages, with 49 visible minority FBOAs from diverse ethno-cultural groups. With an emphasis on practical implementation, here we share our reflections on early community engagement, linguistic accessibility and literacy considerations, facilitating communication with the research team, creating a support role for multilingual family members, organisational suggestions, and working with interpreters and monolingual transcribers. The older Canadian population is projected to become increasingly diverse in the coming decades, and it is our hope that this note will further facilitate research in this understudied area.

scholarly journals Facilitating Better Postnatal Care with Women-Held Documents in The Gambia: A Mixed-Methods Study

2020 ◽  
Author(s):  
Tiffany Gooden ◽  
Lotta Gustafsson ◽  
Fides Lu ◽  
Faith Rickard ◽  
Alice Sitch ◽  
...  
Keyword(s):  
Mixed Methods ◽  
The Gambia ◽  
Mixed Methods Study ◽  
Structured Interviews ◽  
Content Quality ◽  
Postnatal Women ◽  
Quantitative Results ◽  
Facilitators And Barriers ◽  
The Government ◽  
Effective Use

Abstract Background: Women-held documents are a basic component of continuity of maternity care. The use and completion of women-held documents following discharge could improve treatment and care for postnatal women. Using a mixed-methods study design, we aimed to assess content, quality and completeness of women-held discharge documents and identify factors contributing to the effective use and handover of these documents.Methods: Documents given to women at discharge from all three hospitals in the Greater Banjul Area, The Gambia, were reviewed for content and quality. Poisson regression was used to estimate factors predicting completion of the documents. Semi-structured interviews (n=21) and two focus groups were carried out with healthcare professionals (HCPs).Results: From the 212 women included in the study, nearly all (n=211; 99%) were given a document to take home. The maternal record was the most common (n=207; 98%) and the most complete (17/26 items completed on average; 65%). None of the women’s sociodemographic or clinical characteristics were associated with the completeness of the documents. Themes identified from the interviews include HCPs completing and handing over the documents to women and the ability of women to understand and use the documents. Facilitators and barriers identified from both themes were synthesised alongside the quantitative results. Conclusions: The government-issued maternal record is well established in The Gambia and has potential to be more effective. We recommend a national protocol be established to improve consistent completion and use of the maternal record and to reduce the number of documents HCPs must complete. Training and monitoring of HCPs would ensure the document is complete, given to all women and explained to the women clearly and thoroughly.

scholarly journals Clinical Integration of Point‐of‐care Ultrasound by Emergency Medicine Residents: A Single‐center Mixed‐methods Study

2020 ◽  
Vol 4 (3) ◽  
pp. 212-222
Author(s):  
Rachel M. Haney ◽  
Michael Halperin ◽  
Eden Diamond ◽  
Daniel Ratanski ◽  
Hamid Shokoohi ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Mixed Methods ◽  
Point Of Care ◽  
Mixed Methods Study ◽  
Point Of Care Ultrasound ◽  
Single Center ◽  
Clinical Integration

Use of CLIA-waived point-of-care tests for infectious diseases in community pharmacies in the United States

2015 ◽  
Vol 16 (2) ◽  
pp. 253-264 ◽  
Author(s):  
Natalie C Weber ◽  
Michael E Klepser ◽  
Julie M Akers ◽  
Donald G Klepser ◽  
Alex J Adams
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
Point Of Care ◽  
The United States ◽  
Community Pharmacies ◽  
Point Of Care Tests

C-reactive protein point-of-care testing in acutely ill children: a mixed methods study in primary care

2016 ◽  
Vol 101 (4) ◽  
pp. 382-386 ◽  
Author(s):  
Ann Van den Bruel ◽  
Caroline Jones ◽  
Matthew Thompson ◽  
David Mant
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Qualitative Study ◽  
Point Of Care ◽  
Mixed Methods Study ◽  
Contributory Factor ◽  
Antibiotic Prescribing ◽  
Point Of Care Testing ◽  
C Reactive Protein ◽  
Reactive Protein

BackgroundPoint-of-care C-reactive protein (CRP) testing of adults with acute respiratory infection in primary care reduces antibiotic prescribing by 22%. The acceptability and impact of CRP testing in children is unknownObjectiveTo determine the acceptability and impact of CRP testing in acutely ill children.DesignMixed methods study comprising an observational cohort with a nested randomised controlled trial and embedded qualitative study.Subjects and settingChildren presenting with an acute illness to general practice out-of-hours services; children with a temperature ≥38°C were randomised in the nested trial; parents and clinical staff were invited to the qualitative study.Main outcomesInformed consent rates; parental and staff views on testing.ResultsConsent to involvement in the study was obtained for 200/297 children (67.3%, 95% CI 61.7% to 72.6%); the finger-prick test might have been a contributory factor for 63 of the 97 children declining participation but it was cited as a definite factor in only 10 cases. None of the parents or staff raised concerns about the acceptability of testing, describing the pain caused as minor and transient. General practitioner views on the utility of the CRP test were inconsistent.ConclusionsCRP point-of-care testing in children is feasible in primary care and is likely to be acceptable. However, it will not reduce antibiotic prescribing and hospital referrals until general practitioners accept its diagnostic value in children.Trial registration numberISRCTN 69736109.

2017 European guideline for the screening, prevention and initial management of hepatitis B and C infections in sexual health settings

2018 ◽  
Vol 29 (10) ◽  
pp. 949-967 ◽  
Author(s):  
Gary Brook ◽  
Norbert Brockmeyer ◽  
Thijs van de Laar ◽  
Sven Schellberg ◽  
Andrew J Winter
Keyword(s):  
Hepatitis B ◽  
Sexual Health ◽  
Point Of Care ◽  
Sexual Transmission ◽  
Hepatitis E ◽  
European Guideline ◽  
Virus Infections ◽  
Initial Management ◽  
Exposure Prophylaxis ◽  
Point Of Care Tests

This guideline updates the 2010 European guideline for the management of hepatitis B and C virus infections. It is primarily intended to provide advice on testing, prevention and initial management of viral hepatitis B and C for clinicians working in sexual health clinical settings in European countries. The guideline is in a new question and answer format based on clinical situations, from which population/intervention/comparison/outcome questions were formulated. Updates cover areas such as epidemiology, point-of-care tests for hepatitis B, hepatitis C risk and ‘chemsex’, and HIV pre-exposure prophylaxis and hepatitis B. We have also included a short paragraph on hepatitis E noting there is no evidence for sexual transmission. The guideline has been prepared in accordance with the Europe protocol for production available at http://www.iusti.org/regions/europe/pdf/2017/ProtocolForProduction2017.pdf

scholarly journals Student perspectives on asthma management in schools: a mixed-methods study examining experiences, facilitators, and barriers to care

2018 ◽  
Vol 56 (12) ◽  
pp. 1294-1305 ◽  
Author(s):  
Julia Naman ◽  
Valerie G. Press ◽  
Dagny Vaughn ◽  
Ashley Hull ◽  
Kim Erwin ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Barriers To Care ◽  
Asthma Management ◽  
Student Perspectives ◽  
Mixed Methods Study ◽  
Facilitators And Barriers
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