Creating and sustaining collaborative connections: tensions and enabling factors in joint international programme development

2022 ◽  
Author(s):  
Gordon Joughin ◽  
Margaret Bearman ◽  
David Boud ◽  
Joan Lockyer ◽  
Chie Adachi
Keyword(s):  
Enabling Factors ◽  
International Programme ◽  
Programme Development

Determinan Kejadian Stunting Pada Balita Di Kabupaten Gianyar Bali

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Hesteria Friska Armynia Subratha ◽  
Ni Made Indra Peratiwi
Keyword(s):  
Data Collection ◽  
Service Providers ◽  
Information Provision ◽  
Pilot Project ◽  
Z Score ◽  
Enabling Factors ◽  
Analysis Process ◽  
Health Service Providers ◽  
Reinforcing Factors ◽  
Qualitative Descriptive

ABSTRAKPenurunan prevalensi stunting balita merupakan tujuan yang pertama dari enam tujuan dalam Target Nutrisi Global untuk tahun 2025. Program pemerintah dalam penanggulangan masalah gizi pada balita sudah cukup banyak dan terstruktur. Namun, pada kenyataannya kasus kejadian balita stunting masih banyak dijumpai. Pada Kabupaten Gianyar terdapat 22,2% balita stunting, dan merupakan salah satu kabupaten yang menjadi pilot project penanganan stunting di Indonesia.Penelitian ini bertujuan untuk mengetahui secara mendalam determinan kejadian stunting pada balita di Kabupaten Gianyar, Bali  ditinjau dari faktor presdiposisi, faktor pemungkin dan faktor penguat. Penelitian deskriptif kualitatif ini menggunakan metode pengumpulan data observasi dan wawancara mendalam. Pengumpulan data dilaksanakan pada Bulan Mei-Juni 2020. Subyek penelitian ini adalah 8 pengasuh balita (usia 6-60 bulan) dan balita (usia 6-60 bulan) yang memiliki z-score TB/U di bawah -2SD di Kabupaten Gianyar. Proses analisis data menggunakan analisis data tematik.Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan kejadian stunting adalah adalah faktor pendorong (pengetahuan ibu, pemberian ASI Eksklusif), faktor pemungkin (ketersediaan dana, ketersediaan pangan keluarga), faktor penguat (dukungan keluarga).Semua petugas kesehatan agar memberikan informasi yang memadai mengenai pentingnya gizi pada balita sedini mungkin. Pemberian informasi dapat diberikan melalui penyuluhan kepada remaja, ibu-ibu selama hamil, nifas dan saat menyusui sewaktu ibu kunjungan ANC, mengikuti kelas ibu hamil, datang ke pusling, dan pada waktu ibu berkunjung ke posyandu. Kata Kunci       : Determinan, Stunting, Gianyar  ABSTRACTDecreasing the children stunting prevelence is the first of the sixth 2005 Global Nutrition Target goals. There were a lot and structured government prevention program regarding to the infants nutritional problems. However, in fact,  there were still found 22,2% infants stunting problems in Gianyar Regency. It was one of regencies that become a pilot project of stunting  countermeasures in Indonesia.This study aimed to determine the Gianyar Regency inftants stunting determinants in terms of precipitating factors, enabling factors and reinforcing factors. This was qualitative descriptive research with observation and in-depth interviews applied as and the data collection methods. Data collection was carried out over May-June 2020. The subjects of this research were 8 infant’s caregivers (6-60 months old) and infants (6-60 months old) who had a TB / U z-score below -2SD in Gianyar Regency. The data analysis process applied thematic data analysis.The results found that the factors associated with stunting occurrence were predisposing factors (knowledge, exclusive breastfeeding), enabling factors (funds availability, family food availability) and reinforcing factors (family support).All health service providers should provide adequate information as early as possible about the nutrition importance for infants. Information provision could be given by counseling to adolescents, mothers during pregnancy, childbirth and while breastfeeding on ANC mothers visit, attend pregnancy classes, visitting clinic and when mothers visit the Integrated Healthcare Center. Keywords         : Determinants, Stunting, Gianyar

Lifestyle intervention using modified BASNEF model in hypertension management (Preprint)

2020 ◽  
Author(s):  
Resti Tito Villarino ◽  
Christopher Arcay ◽  
Maria Concepcion Temblor
Keyword(s):  
Lifestyle Intervention ◽  
Repeated Measures ◽  
Intervention Program ◽  
Phase 1 ◽  
Management Technique ◽  
Enabling Factors ◽  
Educational Models ◽  
Stroke Risk Factor ◽  
Repeated Measures Design ◽  
Lifestyle Intervention Program

BACKGROUND Hypertension is a serious health issue and a major cardiovascular disease and stroke risk factor. In hypertensive patients, various health educational models have been used to improve their lifestyle, but the findings are inconsistent. OBJECTIVE The study assessed the effects of a lifestyle intervention program using modified Beliefs, Attitude, Subjective Standards, Enabling Factors (BASNEF) model among non-adherent hypertensive respondents in relation to the introduction of a lifestyle intervention program in the management of hypertension. METHODS This is a quantitative quasi-experimental research particularly utilizing a repeated-measures design of within-subjects approach on the 50 non-adherent patients diagnosed with essential hypertension at Moalboal, Cebu, Philippines in 2019. The respondents received five sessions of trainings based on modified BASNEF model. The Morisky Medication Adherence instrument was used. The first phase included a demographic questionnaire and the last phase comprised the evaluation of the program. Frequencies, percentages, means and standard deviations for descriptive statistics while t-test, repeated measures, ANOVA, and Pearson product moment correlation for inferential statistics. RESULTS The result indicated that the phase 1 mean (146.5) of the systolic readings differ significantly from the phase 4 mean (134.92) of the systolic readings. However, since these two means came from phases that were not consecutive, the result, as a whole, did not show a significant decrease or change when analyzed chronologically from one phase to the next. CONCLUSIONS The study has established that BASNEF model approach can be an effective BP management technique.

An exploratory study of teacher buoyancy

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Angel Kit Yi Wong ◽  
Sylvia Yee Fan Tang ◽  
Dora Dong Yu Li ◽  
May May Hung Cheng
Keyword(s):  
Professional Growth ◽  
Pearson Correlation ◽  
Well Being ◽  
Initial Teacher Education ◽  
Enabling Factors ◽  
Content Type ◽  
Daily Work ◽  
Component Framework ◽  
Personal Strengths ◽  
New Instrument

PurposeThe purpose of this paper is threefold. Firstly, a new concept, teacher buoyancy, is introduced. Based on the significance to study how teachers bounce back from minor and frequent setbacks (vs. major adversities emphasized in resilience) in their daily work and the research on buoyancy by Martin and Marsh, a dual-component framework to conceptualize this new concept is introduced. Secondly, the development of a new instrument, the Teacher Buoyancy Scale (TBS), to measure it is presented. Thirdly, results of a study using the TBS are reported, which provide insights into how teacher buoyancy can be fostered.Design/methodology/approachThe study employed a quantitative design. A total of 258 teachers taking a part-time initial teacher education (ITE) program completed the TBS. Their responses were analyzed by exploratory factor analysis (EFA). In addition to descriptive statistics and reliability coefficients, Pearson correlation coefficients were calculated to examine the relationship among the factors.FindingsThe data analysis indicated five factors, namely, Coping with difficulties, Bouncing back cognitively and emotionally, Working hard and appraising difficulties positively, Caring for one's well-being and Striving for professional growth. These factors can be readily interpreted by the dual-component framework. Correlations among the factors further revealed that enabling factors can be subdivided into more proximal personal strengths relating to direct coping, and more distal personal assets pertaining to personal well-being. It is the latter that correlates most highly with perceived teacher buoyancy.Originality/valueThe most original contribution of this paper is the proposal of the new concept of teacher buoyancy which is teachers' capacity to deal with the everyday challenges that most teachers face in their teaching. The delineation between buoyancy and resilience sharpens the focus of the problem domain that is most relevant to teachers. The development of the TBS provides a useful and reliable instrument to examine teacher buoyancy in future studies.

scholarly journals Determinants of self-management behaviors among pulmonary tuberculosis patients: a path analysis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Jin Li ◽  
Jie Pu ◽  
Jiaqing Liu ◽  
Qingya Wang ◽  
Rui Zhang ◽  
...  
Keyword(s):  
Health Education ◽  
Path Analysis ◽  
Family Support ◽  
Indirect Effects ◽  
Pearson Correlation ◽  
Self Management ◽  
Directly Observed Therapy ◽  
Enabling Factors ◽  
Reinforcing Factors ◽  
Study Sites

Abstract Background Tuberculosis (TB) is one of the top 10 causes of death in the world. Since Directly Observed Therapy (DOT) as a core strategy for the global TB control are not applicable to all types of TB patients, and self-management of TB patients (SMTP) as a patient-centered supervision type is a supplement to DOT and can improve TB case management. However, the factors related to SMTP are complex and need more study. This study aimed at identifying the determinants of SMTP and examining the direct/indirect effects of these determinants. Methods The purposive sampling technique was used to select study sites and participants were recruited from the study sites by the consecutive sampling method. The PRECEDE model was used as the framework to analyze the determinants of SMTP. The responses of TB patients were acquired via a questionnaire survey for data collection. A Pearson correlation analysis was used to define the relationship between the predisposing, enabling, reinforcing factors with SMTP behaviors. A regression-based path analysis was used to determine the action paths of the predisposing, enabling, and reinforcing factors on SMTP behaviors. Results The predisposing (TB knowledge), enabling [health education and healthcare workers (HCWs) support], reinforcing factors (family support) had significant positive correlations with SMTP behaviors (P < 0.05). The predisposing, enabling, reinforcing factors were positively correlated with each other (r = 0.123‒0.918, P < 0.05), except for family support and HCWs support. The predisposing factors (TB knowledge, β = 0.330) and the enabling factors (HCWs support, β = 0.437) had direct effects on SMTP behaviors. The enabling factors (health education and HCWs support) and the reinforcing factors (family support) had indirect effects on SMTP behaviors. Conclusions This study revealed the effects and action path of TB knowledge, health education, HCWs support, and family support on SMTP behaviors via a path analysis. Assessing patient’s needs for SMTP along with promoting effective TB health education and providing firm support from HCWs and family members are potential strategies to promote SMTP behaviors. Graphic abstract

The shift from inpatient to outpatient hysterectomy for endometrial cancer in the United States: trends, enabling factors, cost, and safety

2021 ◽  
pp. ijgc-2020-002192
Author(s):  
Serena Cappuccio ◽  
Yanli Li ◽  
Chao Song ◽  
Emeline Liu ◽  
Gretchen Glaser ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Abdominal Hysterectomy ◽  
The United States ◽  
Inpatient Setting ◽  
Significant Shift ◽  
Robotic Hysterectomy ◽  
Post Discharge ◽  
Enabling Factors ◽  
Healthcare Database ◽  
The Impact

ObjectiveTo evaluate trends in outpatient versus inpatient hysterectomy for endometrial cancer and assess enabling factors, cost and safety.MethodsIn this retrospective cohort study, patients aged 18 years or older who underwent hysterectomy for endometrial cancer between January 2008 and September 2015 were identified in the Premier Healthcare Database. The surgical approach for hysterectomy was classified as open/abdominal, vaginal, laparoscopic or robotic assisted. We described trends in surgical setting, perioperative costs and safety. The impact of patient, provider and hospital characteristics on outpatient migration was assessed using multivariate logistic regression.ResultsWe identified 41 246 patients who met inclusion criteria. During the time period studied, we observed a 41.3% shift from inpatient to outpatient hysterectomy (p<0.0001), an increase in robotic hysterectomy, and a decrease in abdominal hysterectomy. The robotic hysterectomy approach, more recent procedure (year), and mid-sized hospital were factors that enabled outpatient hysterectomies; while abdominal hysterectomy, older age, Medicare insurance, black ethnicity, higher number of comorbidities, and concomitant procedures were associated with an inpatient setting. The shift towards outpatient hysterectomy led to a $2500 savings per case during the study period, in parallel to the increased robotic hysterectomy rates (p<0.001). The post-discharge 30-day readmission and complications rate after outpatient hysterectomy remained stable at around 2%.ConclusionsA significant shift from inpatient to outpatient setting was observed for hysterectomies performed for endometrial cancer over time. Minimally invasive surgery, particularly the robotic approach, facilitated this migration, preserving clinical outcomes and leading to reduction in costs.

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