Knowledge, Attitudes, and Behaviors Related to Hepatitis C Screening and Treatment among Health Care Providers in Washington, DC

Healthcare is a complex multidimensional system that depends upon effective communication and collaboration amongst all members of the health care team as the key ingredient for best patient care. In the current health care environment all health care providers are feeling the growing pressures on care delivery and the changing health dynamics which in many instances has negatively impacted their attitudes and behaviors toward medical care. Nursing is a key part of this process. In order to provide best patient care, affiliated organizations need to recognize how important staff satisfaction and engagement is to care continuity and provide the necessary resources and support to maintain staff physical, emotional, and behavioral well- being. The aim of the article is to review key literature findings to help organizations recognize the causes and consequences of stress and burnout and the importance of providing the appropriate support and resources to help nurses succeed.

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Sexual Misconduct: Are You Aware?

CommonHealth ◽

10.15367/ch.v1i2.301 ◽

2020 ◽

Vol 1 (2) ◽

pp. 69-75

Author(s):

Anne C. Russ ◽

Jamie L. Mansell ◽

Dani M. Moffit

Keyword(s):

Health Care ◽

Health Care Providers ◽

Contextual Factors ◽

Sexual Misconduct ◽

Care Providers ◽

Power Dynamic ◽

Positional Power ◽

And Behaviors

Sexual misconduct, a continuum of unwanted acts and behaviors that ranges from discrimination to assault, is a growing concern in health care. There is often a power dynamic involved, with the perpetrator having greater positional power than the victim. Both health care providers and educators in health care programs need to be aware of sexual misconduct. This includes using consent when working with a patient and/or student as wells as being sensitive to how varying contextual factors impact how actions and conversations are received. Schools and programs have a responsibility to educate individuals on prevention and recognition of sexual misconduct, reporting sexual misconduct, and responding to sexual misconduct.

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Sodium Knowledge, Beliefs, and Behaviors in Patients on Chronic Hemodialysis

Blood Purification ◽

10.1159/000502678 ◽

2019 ◽

Vol 49 (1-2) ◽

pp. 25-32

Author(s):

Zorica Kauric-Klein

Keyword(s):

Blood Pressure ◽

Health Care ◽

Health Care Providers ◽

Salt Intake ◽

Sodium Intake ◽

Chronic Hemodialysis ◽

Care Providers ◽

And Behaviors ◽

The Relationship ◽

Total Sodium

Introduction: There is a clear relationship between sodium intake and blood pressure in patients on chronic hemodialysis (HEMO). To date, there are few studies that assess sodium knowledge, beliefs, and behaviors in patients on chronic HEMO. The purpose of this research study was to determine sodium knowledge, beliefs and behaviors in patients on chronic HEMO. Methods: A descriptive correlational study was conducted using an investigator developed online sodium knowledge, beliefs, and behaviors survey. Participants were recruited via nephrology social media websites. Findings: One hundred and fourteen participants completed the survey, the majority of participants (n = 39, 34.2%) were between the ages of 36 and 50 years, 55.3% (n = 63) were female, and 70% (n = 80) were white. Fifty-four participants (47%) could not identify their recommended salt intake limit. Participants answered an average of 4 out of 7 questions pertaining to sodium knowledge correctly (SD 1.5). Increased age was associated with total sodium knowledge (r = 0.33, p= 0.01) and length of time on HEMO was related to total sodium knowledge (r = –0.20, p = 0.04). In terms of beliefs, 38% (n = 44) were unsure or did not believe that salt intake was related to blood pressure and 30% (n = 33) did not feel it was related to fluid gains. Forty-two participants (37%) responded that they were not informed by a health care provider to cut down their salt intake. Discussion: Knowledge about sodium levels is lacking in patients on chronic HEMO. Patients may be more likely to decrease their sodium intake if they know their recommended sodium levels. Health care providers are not doing enough to educate patients on the need to decrease sodium intake and reinforce the relationship between sodium intake, fluid gains, and blood pressure. Findings from this study are useful to help develop educational programs to target these knowledge needs.

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Clinical Encounters and Treatment Initiation for Chronic Hepatitis C Patients: Applications of Adaptive Leadership Framework for Chronic Illness

SAGE Open ◽

10.1177/2158244018824461 ◽

2019 ◽

Vol 9 (1) ◽

pp. 215824401882446 ◽

Cited By ~ 1

Author(s):

Donald E. Bailey ◽

Andrew J. Muir ◽

Judith A. Adams ◽

N. Marcus Thygeson ◽

Hants Williams ◽

...

Keyword(s):

Health Care ◽

Chronic Hepatitis ◽

Hepatitis C ◽

Chronic Illness ◽

Chronic Hepatitis C ◽

Health Care Providers ◽

The United States ◽

Clinical Encounter ◽

Adaptive Leadership ◽

Care Providers

Chronic hepatitis C (CHC) is the most common blood-borne infection in the United States. Patients with CHC undergoing treatment face many challenges including adherence to medications and management of symptoms; health care practitioners are well positioned to facilitate patients’ ability to address these challenges. We used the Adaptive Leadership for Chronic Illness Framework to investigate the difficulties inherent in affecting behavior change in patients undergoing treatment. We enrolled 11 patient participants and 10 provider participants. We used data from the first clinical encounter between patients and providers during which treatment was discussed. We found examples of adaptive leadership and categorized these behaviors into three themes: support for medication, coping with family/home life, and strategizing to manage employment. We also saw examples of what we termed missed opportunities for adaptive leadership. This study illustrates the contributions of adaptive leadership behaviors by health care providers and the potential risk to patients in their absence.

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Management of HIV Infection in Persons Co-infected With Hepatitis

Journal of Pharmacy Practice ◽

10.1177/0897190005278509 ◽

2005 ◽

Vol 18 (4) ◽

pp. 295-309

Author(s):

Naomi S. Boston ◽

Judianne C. Slish

Keyword(s):

Health Care ◽

Hepatitis C Virus ◽

Hepatitis C ◽

Hepatitis B Virus ◽

Hiv Infection ◽

Health Care Providers ◽

Antiretroviral Treatment ◽

Care Providers ◽

Hcv Treatment ◽

B Virus

Co-infection with hepatitis C virus (HCV) and/or hepatitis B virus (HBV) is becoming a rampant disparity in HIV-infected patients. The advent of antiretroviral therapy has led to agents that are effective for suppression of both HIV and HBV; however, this can not be extrapolated to patients who are coinfected with HCV. Treatment of HCV disease is often strenuous and can lead to untoward adverse effects. Co-infection with HIV often leads to higher rates of cirrhosis and liver failure in patients with HBV or HCV, compromising antiretroviral treatment in this patient population due to the hepatotoxicity of these agents. The purpose of this review is to familiarize health care providers to the management of HIV infection in patients who are also co-infected with HBV or HCV.

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The Long Road to Farewell: The Needs of Families With Dying Children

OMEGA - Journal of Death and Dying ◽

10.1177/0030222817697418 ◽

2017 ◽

Vol 78 (4) ◽

pp. 404-420 ◽

Cited By ~ 4

Author(s):

Joanne Cacciatore ◽

Kara Thieleman ◽

Angela S. Lieber ◽

Cybele Blood ◽

Rachel Goldman

Keyword(s):

Health Care ◽

Health Care Providers ◽

Terminal Illness ◽

Family Members ◽

Care Providers ◽

Dying Children ◽

And Behaviors ◽

Child's Death ◽

Multiple Domains

Families of dying children are profoundly impacted by numerous interactions with health-care providers before, during, and after their child’s death. However, there is a dearth of research on these families’ direct, qualitative experiences with health-care providers. This study presents findings from interviews with 18 family members, predominantly parents, regarding their experiences with health-care providers during a child’s terminal illness, from diagnosis to death. The importance of compassion emerged as a salient theme, manifested in myriad ways, and connected to participants’ perception of caregiver presence in multiple domains. Families were likewise negatively affected by a wide variety of situations and behaviors that represented individual or institutional abandonment or nonpresence, and thus compounded the experience of loss. Specifics and implications for practice are explored.

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Hepatitis C: Nutrition Care Canadian Guidelines for Health Care Providers

Canadian Journal of Dietetic Practice and Research ◽

10.3148/64.3.2003.139 ◽

2003 ◽

Vol 64 (3) ◽

pp. 139-141 ◽

Cited By ~ 4

Keyword(s):

Health Care ◽

Hepatitis C Virus ◽

Hepatitis C ◽

Health Care Providers ◽

Scientific Evidence ◽

Critical Role ◽

Care Providers ◽

Nutrition Care ◽

On Line ◽

Accepted Practice

Nutrition plays a critical role in the management of hepatitis C. Dietitians of Canada has developed comprehensive, evidencebased guidelines to familiarize health care providers with effective nutrition care for the growing number of Canadians infected with the hepatitis C virus. The complete guidelines and two supporting educational fact sheets are available for downloading from http://www.dietitians.ca/resources/HepatitisC_Guidelines.htm . The guidelines and fact sheets are available in both English and French. The guidelines contain the full text, practice essentials, references, and extensive appendices with practical tools to assist educators in promoting nutrition to persons infected with the hepatitis C virus. Reprinting or photocopying of the document is encouraged provided the source is acknowledged. In addition, an on-line education course is available for health care providers and is available on www.dieteticsatwork.ca . These guidelines are directed to all health care providers who are in a position to offer nutrition-related advice and guidance to persons infected with the hepatitis C virus, in all stages of the disease. A national advisory committee comprised of leading authorities in Canada steered the development of the guidelines. The guidelines are based on the best information available at the time of publication; where scientific evidence was not available, best-accepted practice is presented.

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