Primary Health Care Pediatricians’ Self-Perception of Theoretical Knowledge and Practical Skills in Life-Threatening Emergencies: A Cross-Sectional Study

2020 ◽  
Vol 35 (2) ◽  
pp. 152-159
Author(s):  
José Antonio Cernuda Martínez ◽  
Rafael Castro Delgado ◽  
Pedro Arcos González
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Theoretical Knowledge ◽  
Practical Skills ◽  
Self Perception ◽  
Cross Sectional ◽  
Emergency Procedures ◽  
Primary Health ◽  
Life Threatening

AbstractIntroduction:Within out-of-hospital emergencies, Primary Health Care (PHC) pediatricians will likely be the first to provide health care at the scene of a life-threatening emergency (LTE) in children. Pediatricians should be trained to initially intervene, safely and effectively the LTEs, including the activation of Emergency Medical Systems (EMS), an adequate stabilization of patients and transport to the hospital.Study Objectives:The aims of this study are to know the training received for out-of-hospital LTEs by PHC pediatricians of the Principality of Asturias (Spain) and the perception they have about their own theoretical knowledge and practical skills in a series of emergency procedures used in LTEs; also, to analyze the differences according to the geographical context of their work.Methods:This was a cross-sectional, descriptive, and observational study of a sample of 27 PHC pediatricians from PHC Service of Asturias, Spain, from among the total of 88 pediatricians who make up the staff of pediatricians, conducted from April through May 2019. The survey was designed ad hoc using the Curriculum in Primary Care Pediatrics (CPCP) proposed by the European Confederation of Primary Care Pediatricians (ECPCP; Europe), which indicates the theoretical and practical procedures that must be acquired by the PHC pediatricians. It is composed of 30 procedures or techniques employed in LTEs using a 11-point Likert scale rating to detect their self-perception about theoretical knowledge and practical skills from zero (“Minimum”) to 10 (“Maximum”).Results:There are significant differences in the mean of theoretical knowledge and practical skills in many procedures or techniques studied, depending on the different areas of work.Conclusion:Asturian pediatricians are generally well-prepared to solve LTEs with a few exceptions. The degree of self-perception and acquisition of general theoretical knowledge and general practical skills in LTEs is heterogeneous, with differences according to the scope of work.

Primary Health Care Nurses’ Self-Perception of Theoretical Knowledges and Practical Skills in Life-Threatening Emergencies: A Cross-Sectional Study

2019 ◽  
Vol 34 (04) ◽  
pp. 376-384 ◽  
Author(s):  
José Antonio Cernuda Martínez ◽  
Rafael Castro Delgado ◽  
Tatiana Cuartas Álvarez ◽  
Pedro Arcos González
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Geographical Area ◽  
Theoretical Knowledge ◽  
Practical Skills ◽  
Self Perception ◽  
Cross Sectional ◽  
Emergency Procedures ◽  
Primary Health ◽  
Life Threatening

AbstractBackground:Within out-of-hospital emergencies, primary health care (PHC) nurses must face life-threatening emergencies (LTEs), which are defined as “a situation associated with an imminent life risk that entails the start-up of resources and special means to resolve the situation.”Objectives:The objectives of this study were to know the training received for out-of-hospital LTEs by PHC nurses of Asturias, Spain and the perception they have about their theoretical knowledge and practical skills in a series of emergency procedures or techniques used in LTE emergencies; as well as to analyze the differences according to the geographical area of their work.Design:Cross-sectional, descriptive, and observational study was conducted in 2018 of a sample of PHC service nurses of Asturias, Spain.Methods:A total of 236 nurses from PHC service centers of Asturias, Spain, from among the total of 730 nurses who make up the staff of nurses of the PHC service of Asturias, between April and May 2018, were surveyed. The survey was designed ad hoc using the Doctrinal Body of Emergency Nursing (DBEN) proposed by the Spanish Society of Emergency Medicine (SEMES; Madrid, Spain), which indicates the theoretical and practical procedures that must be acquired by the PHC nurses. It is composed of 37 procedures or techniques employed in LTEs using an 11-point Likert scale rating to detect their self-perception about theoretical knowledge and practical skills from zero (“Minimum”) to ten (“Maximum”).Results:There were significant differences in the mean of theoretical knowledge and practical skills in many procedures or techniques studied, depending on the different areas of work.Conclusions:All PHC nurses must be perfectly trained to provide initial quality assistance to the LTE, with both theoretical and practical knowledge of the different techniques, so that it can continue to be attended by the corresponding Emergency Service.

Self-Perception of Theoretical Knowledge and Practical Skills by Primary Health Care Physicians in Life-Threatening Emergencies

2018 ◽  
Vol 33 (5) ◽  
pp. 508-518 ◽  
Author(s):  
José Antonio Cernuda Martínez ◽  
Rafael Castro Delgado ◽  
Elena Ferrero Fernández ◽  
Pedro Arcos González
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Geographical Area ◽  
General Level ◽  
Theoretical Knowledge ◽  
Practical Skills ◽  
Self Perception ◽  
Primary Health ◽  
Life Threatening ◽  
Primary Health Care Physicians

AbstractObjectivesThe goal of this study was to find out the training received in Urgent and Emergency Medicine (UEM) by the Primary Health Care (PHC) physicians of Asturias (Spain), as well as their perception of their own theoretical knowledge and practical skills in a series of procedures employed in life-threatening emergencies (LTEs), and also to analyze the differences according to the geographical area of their work.MethodsThis was a cross-sectional survey of PHC physicians using an ad hoc survey of a sample of 213 physicians in Asturias regarding their self-perception of theoretical knowledge and practical skills in techniques used in LTEs by areas of work (rural, suburban, and urban). The interview was conducted by mail from April through May 2017. The data processing has used absolute and relative frequencies, as well as central tendency parameters and dispersion parameters. The estimates for the entire population have been made using confidence intervals for the mean of 95%. In the comparison of parameters, the differences between parameters with a probability of error less than five percent (P<.05) have been considered significant. For the comparison of means between the different techniques in the different areas of work, ANOVA was used.ResultsWith respect to the training of physicians, in general, for managing emergencies, both at the regional level and by areas of work (rural, suburban, and urban), none of the sets analyzed attained five points. By areas of work, it was the suburban region where there was a greater average general level of knowledge. There were significant differences in the average theoretical knowledge and the average practical skills in the procedures studied according to the different areas of work. The greater number of significant differences was between the urban and suburban regions and within the urban area.Conclusions:It’s necessary to ensure an adequate homogeneity of the levels of theoretical knowledge and practical skills of PHC physicians in order to guarantee the equity of provision of health care in emergencies in different geographical areas.Cernuda MartínezJA, Castro DelgadoR, Ferrero FernándezE, Arcos GonzálezP. Self-perception of theoretical knowledges and practical skills by primary health care physicians in life-threatening emergencies. Prehosp Disaster Med. 2018;33(5):508–518.

scholarly journals Opinions on mental illness from the perspective of primary care nurses in Portugal

2019 ◽  
Vol 40 ◽  
Author(s):  
Carla Silvia Neves da Nova Fernandes ◽  
Wallace Borges Costa dos Santos ◽  
Wanderson Carneiro Moreira ◽  
Divane de Vargas ◽  
Maria do Perpétuo Socorro de Sousa Nóbrega
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Mental Illness ◽  
Primary Health Care ◽  
Cross Sectional ◽  
Primary Health ◽  
People With Mental Illness ◽  
Primary Care Nurses ◽  
Opinions About Mental Illness ◽  
Unit Of Action

Abstract Objective: To identify the opinions of primary care nurses regarding mental illness and the care provided to this population. Methodology: Cross-sectional, quantitative study with the participation of 328 nurses of primary health care in Porto, Portugal. Data collected between April and August of 2018 through the scale "Opinions about Mental Illness" and socio demographic and labor questionnaire. Descriptive and correlational statistics were applied. Results: A total of 50% of the nurses presented positive opinions about the mental illness. Regarding the assistance provided in their unit of action, 53.4% considered inadequate and 50.3% recognized as adequate their knowledge about the role that primary health care has in assisting the person with mental illness. Conclusion: Positive opinions and recognition of the importance of primary care to people with mental illness are important indicators for qualified mental health care outside the field of specialty.

scholarly journals Challenges and lessons from a primary care intervention in a Brazilian municipality

2019 ◽  
Vol 53 ◽  
pp. 45
Author(s):  
Mônica V Andrade ◽  
Kenya Noronha ◽  
Clareci S Cardoso ◽  
Claudia D L Oliveira ◽  
Júlia A Calazans ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Chronic Conditions ◽  
Household Survey ◽  
Cross Sectional ◽  
Care Network ◽  
The Public ◽  
Primary Health ◽  
Health Care Network

OBJECTIVE: To address the implementation of the Lab for Innovation in Chronic Conditions in Santo Antonio do Monte, indicating the main challenges and lessons of a new chronic condition model. METHODS: This is an observational study based on two sources of data: 1) two cross-sectional household surveys, 2013 (2012 as reference year) and 2015 (2014 as reference year), representative for the entire population and four target groups (pregnant women; children under two years old; individuals with hypertension and diabetes); medical records of individuals who self-reported having hypertension or diabetes in the household survey of 2013. A descriptive statistics analysis was performed. RESULTS: The main findings showed that the public health system is the main provider of health services, mainly primary care, in Santo Antonio do Monte. Besides, the implementation of Lab for Innovation in Chronic Conditions showed the importance of building a Primary Health Care network in small municipalities. CONCLUSIONS: Community health agents and health managers played a fundamental role in the Primary Health Care network. The case study of Santo Antonio do Monte poses some challenges and lessons that clarify future interventions on building a Primary Health Care network that is essential to provide an adequate and longitudinal care to chronic conditions.

scholarly journals Correlation Between Gender and Knowledge, with Practice and Referral Rate of Continuum Rehabilitation Cases by General Practitioners

2020 ◽  
Vol 8 (01) ◽  
pp. 9-17
Author(s):  
Hari Hari Peni Julianti ◽  
Angela BM Tulaar BM Tulaar ◽  
Tirza Z Tamin ◽  
Tanti Ajoe Kesoema, ◽  
Endang Ambarwati, ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Employment Status ◽  
Referral Rate ◽  
Cross Sectional ◽  
Significance Level ◽  
Primary Health ◽  
Knowledge Practice ◽  
Level Of Knowledge

Introduction: Indonesian Health Ministry had a strategy to make the primary care, including rhabilitation program by continuum of care. The purpose of this study was to determine factors related to the levelof knowledge, practice, and referral for continuum care cases that required rehabilitation services in Primary Health Care Doctors.Methods: The study design was cross-sectional. Participants were 23 Primary Health Care Doctors in Wonosobo District. Data collection was conducted in December 2017. The independent variablesconsist of gender, length of work, employment status, while the dependent variables were the level of knowledge, practice and referral cases of maternal, infants and toddlers, adolescents, adults and elderly.The measuring instrument was a questionnaire. Data were tested with chi-square, significance level <0.05.Results: Gender has correlation with the level of knowledge in maternal cases (PR = 0.121, 95% CI = 0.017-0.087, p = 0.026). Gender has correlation to the level of practice in maternal case (PR = 0.121,95% CI = 0.017-0.867, p = 0.026). Employment status has correlation to the referral rate of elderly cases(PR = 10.500, 95% CI = 1.015-108.577, p = 0.029).Conclusion: Gender has correlation with the level of knowledge and practice of maternal cases. Employment status has correlation with the level of referral rate of elderly cases.Keywords: Primary care doctors, Knowledge, Referral, Continuum Rehabilitation

scholarly journals Patient safety culture in Primary Health Care

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70874
Author(s):  
Jéssica Karine Lopes Bohrer ◽  
Ana Catarina Laboissière Vasconcelos ◽  
Ana Lúcia Queiroz Bezerra ◽  
Cristiane Chagas Teixeira ◽  
Juliane Andrade ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Care Health

Objective: to evaluate the patient safety culture in a primary care health unit. Methods: cross-sectional study conducted with 51 professionals linked to Primary Health Care. Data were collected using the self-administered instrument Medical Office Survey on Patient Safety Culture, translated, adapted and validated for use in Brazil. Descriptive statistical analysis was performed. Nurses, physicians, Community Health Agents, among other professionals participated. Results: the dimensions of the patient safety culture in Primary Health Care indicated opportunities for improvement or weaknesses in the service. The general assessment of patient safety and the global assessment of the quality of care provided in Primary Health Care were appointed as good or fair. Conclusion: the safety culture in Primary Care did not identify strong dimensions; there were problems with equipment, performance and availability of test results and exchange of information with imaging centers/laboratories in the care network.

scholarly journals Body Mass Index Assessment of Health Care Professionals in a Primary Care Setting in Portugal: a Cross Sectional Study

2014 ◽  
Vol 27 (5) ◽  
pp. 609 ◽  
Author(s):  
Inês Campos-Matos ◽  
André Peralta-Santos ◽  
Bernardo Gomes ◽  
Gustavo Borges ◽  
Pedro Aguiar
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Body Mass Index ◽  
Primary Health Care ◽  
Body Mass ◽  
Health Care Professionals ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cross Sectional ◽  
Primary Health

<p><strong>Introduction:</strong> Obesity is an important public health problem because it is a risk factor for numerous diseases and is associated with a higher death risk. Evidence concerning the prevalence of excess weight in health professionals is scarce and this group is often overlooked in weight interventions programs. This paper aims to estimate the prevalence of obesity and overweight among Portuguese primary health care professionals and to describe differences between occupational groups.<br /><strong>Material and Methods:</strong> This was a cross sectional study based on a primary care setting in Portugal in 2011. We collected data on occupation, age, sex and height of professionals from four primary care centers. We did a descriptive analysis of the main variables and an analysis of covariance to compare mean Body Mass Index.<br /><strong>Results:</strong> Our sample represented 52.8% of the total population of the four primary care centers, and 38.6% were overweight and 16.9% were obese. When adjusted for age and gender, health service personnel had the highest average Body Mass Index, followed by nurses, physicians, and superior technicians, in that order.<br /><strong>Discussion:</strong> Although we can’t ensure the generalisation of the results and cannot exclude the possibility of sampling bias, these results suggest high prevalence obesity and overweight in workers of primary health care in Portugal.<br /><strong>Conclusion:</strong> In this primary care setting more than half of the health care professionals were overweight or obese. Tailored interventions might be needed to tackle this issue.</p><p><br /><strong>Keywords:</strong> Body Mass Index; Health Personnel; Obesity; Portugal; Primary Health Care; Prevalence.</p>

scholarly journals Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain

2021 ◽  
Vol 18 (2) ◽  
pp. 434
Author(s):  
Vicente Gea-Caballero ◽  
José Ramón Martínez-Riera ◽  
Pedro García-Martínez ◽  
Jorge Casaña-Mohedo ◽  
Isabel Antón-Solanas ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Outcomes ◽  
Work Environments ◽  
Head Nurse ◽  
Cross Sectional ◽  
Primary Health

Background: Nursing work environments are defined as the characteristics of the workplace that promote or hinder the provision of professional care by nurses. Positive work environments lead to better health outcomes. Our study aims to identify the strengths and weaknesses of primary health care settings in Spain. Methods: Cross-sectional study carried out from 2018 to 2019. We used the Practice Environment Scale of the Nursing Work Index and the TOP10 Questionnaire of Assessment of Environments in Primary Health Care for data collection. The associations between sociodemographic and professional variables were analyzed. Results: In total, 702 primary care nurses participated in the study. Responses were obtained from 14 out of the 17 Spanish Autonomous Communities. Nursing foundation for quality of care, management and leadership of head nurse and nurse–physician relationship were identified as strengths, whereas nurse participation in center affairs and adequate human resources to ensure quality of care were identified as weaknesses of the nursing work environment in primary health care. Older nurses and those educated to doctoral level were the most critical in the nursing work environments. Variables Age, Level of Education and Managerial Role showed a significant relation with global score in the questionnaire. Conclusion: Interventions by nurse managers in primary health care should focus on improving identified weaknesses to improve quality of care and health outcomes.

scholarly journals Factors Influencing Prescribing Decisions Among Primary Health Care Physicians in Al-Buraimi Governorate, Oman

2019 ◽  
Vol 11 (4) ◽  
pp. 12
Author(s):  
Hilal Salim Al Shamsi ◽  
Talib Salim Al Kalbani ◽  
Abdullah Ghthaith Almutairi ◽  
Sulaiman Salim Al Mashrafi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Primary Health ◽  
Life Threatening ◽  
Evidenced Based ◽  
Primary Health Care Physicians

Prescribing plays a major role in the activities practiced by physicians. The vast majority of health care consultations occur in the primary health care (PHC) system, where medication errors are more likely and can even be potentially life threatening. The goal of this study is to explore the factors affecting prescribing decisions among physicians working in PHC institutions in Al-Buraimi Governorate, Oman using a cross-sectional survey. Of the 53 physicians who received the questionnaire, 41 (77.4%) completed it. The Cronbach&#39;s alpha of the instrument was 0.913. The main patient factors that influenced prescribing decisions were age group (78%), gender (75.6%), and medication preference or untruthful patients (70.7%). The main physician factors were the lack of treatment alternatives (70.7%), doctor&ndash;patient relationship (68.3%), strict policies and guidelines (65.9%) and avoiding problems of drug unavailability (65.9%). The pharmacist influenced prescribing decisions for 36.6% of physicians. The methods used for keeping physician s&rsquo; medical knowledge up to date were private reading and the Internet (87.8% and 80.5%, respectively). Sources of prescribing guidance were colleagues and evidenced-based medicine websites (78.0% and 70.7%, respectively). The current study sheds some light on the factors and behaviours that influence physician prescribing decisions in PHCs in Al-Buraimi Governorate, Oman. Additionally, this study could be used for developing policies to improve drug selections and to increase clinical and economic effectiveness and efficiency.

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