scholarly journals Implementation of a Postpartum HPV Vaccination Program in a Southeast Texas Hospital: A Qualitative Study Evaluating Health Care Provider Acceptance

2016 ◽  
Vol 20 (S1) ◽  
pp. 154-163 ◽  
Author(s):  
Tyra T. Gross ◽  
Mahbubur Rahman ◽  
Abigail M. Wright ◽  
Jacqueline M. Hirth ◽  
Kwabena O. Sarpong ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Provider ◽  
Care Provider ◽  
Hpv Vaccination ◽  
Vaccination Program ◽  
Southeast Texas

Information seeking behaviors, attitudes, and beliefs about pregnancy-related nutrition and supplementation: A qualitative study among US women

2021 ◽  
pp. 026010602110388
Author(s):  
Kelly Daigle Millan ◽  
Samantha Poccia ◽  
Teresa T. Fung
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Pregnant Women ◽  
Health Care Provider ◽  
Care Provider ◽  
Information Seeking ◽  
The United States ◽  
Nutrition Information ◽  
Attitudes And Beliefs ◽  
Information Seeking Behaviors

Background: Maternal behavior during pregnancy is crucial to her own and her infant's health, and as such, it is important to understand the nutrition and supplement habits of women during pregnancy and what informs those behaviors. Aim: We aimed to assess the information seeking habits, attitudes, and beliefs about pregnancy-related nutrition and supplementation among pregnant women in the United States. Methods: Qualitative study using key informant interviews with pregnant and recently pregnant ( n = 21) US women. Themes related to concerns, attitudes, behaviors, and information seeking habits were extracted. Results: The mean age was 31.9 years and all had at least a university degree. Two major themes that emerged: (1) nutrition information-related attitudes and beliefs and (2) food and supplement-related attitudes and beliefs. Pregnant women in the US were underwhelmed with their health care provider experience when receiving information about pregnancy-related nutrition and supplementation. Nutrition was most often addressed in a reactive manner while women desired a more proactive approach. As a result, they conducted their own research using the internet as their primary tool, and ultimately made nutrition and supplement decisions based largely on their own instincts. Conclusion: Women interviewed for this study encountered barriers to pregnancy related nutrition information from a lack of clear communication from their health care provider and ambiguity and inconsistencies in information within and between sources. Women relied on themselves for information seeking and nutrition related decision making throughout their pregnancy.

scholarly journals Patient-Level Factors Associated With Lack of Health Care Provider Recommendation for the Human Papillomavirus Vaccine Among Young Cancer Survivors

2020 ◽  
Vol 38 (25) ◽  
pp. 2892-2901
Author(s):  
Jocelyn M. York ◽  
James L. Klosky ◽  
Yanjun Chen ◽  
James A. Connelly ◽  
Karen Wasilewski-Masker ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Health Care Provider ◽  
Care Provider ◽  
Hpv Vaccine ◽  
Insurance Coverage ◽  
Hpv Vaccination ◽  
Factors Associated ◽  
Patient Level ◽  
Vaccine Recommendation

PURPOSE Young cancer survivors are at increased risk for morbidities related to infection with the human papillomavirus (HPV), yet their HPV vaccine initiation rates remain low. Patient-/parent-reported lack of health care provider recommendation for HPV vaccination is strongly associated with vaccine noninitiation. We aimed to identify patient-level factors associated with survivor-/parent-reported lack of provider recommendation for HPV vaccination among young cancer survivors. METHODS Cancer survivors ages 9-26 years and 1-5 years off therapy completed a cross-sectional survey (parent-completed for survivors 9-17 years of age). Lack of health care provider HPV vaccine recommendation was the outcome of interest in a multivariable logistic regression model that included relevant patient-level sociodemographic, clinical, and vaccine-related variables. RESULTS Of 955 survivors, 54% were male, 66% were non-Hispanic White, and 36% had leukemia. At survey participation, survivors were an average age (± standard deviation) of 16.3 ± 4.7 years and 32.8 ± 14.7 months off therapy. Lack of provider HPV vaccine recommendation was reported by 73% (95% CI, 70% to 75%) of survivors. For the entire cohort, patient-level factors associated with lack of reported provider recommendation included perceived lack of insurance coverage for the HPV vaccine (odds ratio [OR], 4.0; 95% CI, 2.7 to 5.9; P < .001), male sex (OR, 2.8; 95% CI, 1.9 to 4.0; P < .001), and decreased parent-survivor communication regarding HPV vaccination (OR, 1.7 per unit decrease in score; 95% CI, 1.3 to 2.2; P < .001). In the sex- and age-stratified models, perceived lack of insurance coverage (all models) and male sex (age-stratified models) were also significantly associated with lack of reported provider recommendation. CONCLUSION We identified factors characterizing survivors at risk for not reporting receipt of a health care provider HPV vaccine recommendation. Future research is needed to develop interventions that facilitate effective provider recommendations for HPV vaccination among all young cancer survivors.

Health care provider attitudes and practices regarding adolescent immunizations: A qualitative study

2009 ◽  
Vol 75 (1) ◽  
pp. 121-127 ◽  
Author(s):  
Sharon G. Humiston ◽  
Christina Albertin ◽  
Stanley Schaffer ◽  
Cynthia Rand ◽  
Laura P. Shone ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Provider ◽  
Care Provider ◽  
Provider Attitudes ◽  
Attitudes And Practices

scholarly journals High blood pressure readings on in-store machines: a qualitative study of the perspective of pharmacy staff

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Ivona Mostarac ◽  
Clare L. Atzema
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Qualitative Study ◽  
High Blood Pressure ◽  
Health Care Provider ◽  
Care Provider ◽  
Urgent Care ◽  
Pharmacy Staff ◽  
Referral Patterns ◽  
Pharmacy Technicians

Abstract Objectives Emergency department (ED) visits for high blood pressure are on the rise. Yet the majority of these patients are discharged home after their ED evaluation, particularly those who present following an elevated reading on an in-store pharmacy machine. We aimed to gain insight on the practice and referral patterns of pharmacy staff who encounter a patient with an elevated in-store blood pressure (BP) reading. Methods We conducted a qualitative study using semi-structured interviews with pharmacy staff (pharmacists and pharmacy technicians/assistants) from California, United States and Ontario, Canada. Interview questions were designed to examine the practice and referral patterns of pharmacy staff for patients with elevated in-store BP readings. Standard descriptive content analysis techniques were used to analyze the data and to develop themes for current practice and referral patterns. Results Twenty-four interviews were completed: six with pharmacy technicians/assistants and 18 with pharmacists. Canadian pharmacy staff (83%) reported being approached frequently (defined as from weekly up to multiple times per day) by patients concerned about an elevated BP reading on an in-store machine, versus 50% reported by American participants. Participant definition of an elevated BP varied, with systolic values ranging from 120 to 150 mmHg and diastolic values from 60 to 90 mmHg. Participants emphasized the need to converse with and assess their patients prior to providing advice. The most frequently reported advice was to seek referral from an outside health care provider: ED, urgent care, or a primary care practitioner. Severity of the BP reading and symptomatology were reported as determining factors for referring patients to the ED. Pharmacists (92%) reported a lack of corporate and/or governing body policy for managing patients with in-store markedly elevated BP readings. Conclusions Managing patients with an elevated BP reading in the community pharmacy setting is complex and not standardized. Referral to an external health care provider, including the ED, was a common theme. The development of a pharmacy referral tool/algorithm may be helpful to refer in-store patients with elevated BP readings to the most appropriate healthcare resources.

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