Knowledge and comfort related to palliative care among Indonesian primary health care providers

2020 ◽  
Vol 26 (6) ◽  
pp. 472
Author(s):  
Nuzul Sri Hertanti ◽  
Mei-Chih Huang ◽  
Chia-Ming Chang ◽  
Susan Jane Fetzer ◽  
Chi-Yin Kao

This study investigated Indonesian primary health care providers’ knowledge and comfort towards palliative care. A descriptive cross-sectional design was used. From August 2017 to February 2018, the research team approached 70 primary care centres in the Yogyakarta province of Indonesia and invited health care providers to complete the Palliative Care Quiz for Nursing – Indonesia and describe their comfort in caring for terminally ill patients. Data were obtained from 516 health care providers. The mean (±s.d.) score of palliative care knowledge was low (7.8±3.3 of a possible score of 20). Current comfort level in providing palliative care was also low (1.6±2.7 of a possible score of 10). Only 11.3% of palliative care knowledge was explained by respondents understanding of palliative care definition, their education levels and experience in providing palliative care in hospital. However, 82.9% of provider comfort was explained by their experiences for caring for terminally ill patients in primary healthcare centres, palliative care training and years of work experience in primary healthcare centres. Indonesian evidence-based palliative care standards and guidelines must be established with education offered to all providers.

2021 ◽  
Vol 10 (33) ◽  
pp. 2773-2777
Author(s):  
Rasheed Khalid Barradah

BACKGROUND Atopic dermatitis (AD) is common in Saudi Arabia. Level of primary health care providers’ (PHCPs) knowledge about the disease is inadequate. We wanted to determine the knowledge and attitude of primary health care providers (PHCPs) in Majmaah, Saudi Arabia, toward atopic dermatitis (AD). METHODS This cross-sectional study was conducted in Majmaah, Saudi Arabia, from August to October 2020. The data was collected from eight primary healthcare centres in the city by a pre-tested questionnaire. The data was analysed using SPSS 26.0. Pearsonchi-square / Fisher Exact test were applied to observe associations between qualitative variables. A P-value of < 0.05 was considered as statistically significant. RESULTS The data was collected from 23 PHCPs. The qualification obtained by most of the PHCPs (78.3 %) was Bachelor of Medicine & Bachelor of Surgery (MBBS), 17.4 % were diploma holders and only one had master’s degree. The average AD score out of 8 items was 5.95 + 1.18. The minimum and maximum scores were 3 and 8. Converting the scores to percentages, the participants who had good knowledge about AD were 17 (73.91 %). Five (21.74 %) had average knowledge and only one (4.35 %) had poor knowledge. CONCLUSIONS The level of atopic dermatitis knowledge of PHCPs in Majmaah, Saudi Arabia, was found to be adequate, whereas the attitude was observed to be negative. Focus-group discussions, tailored sessions, or continuous medical education programs can be conducted to discuss the management guidelines on this condition with the PHCPs. KEY WORDS Atopic Dermatitis, Primary Healthcare Centres, Knowledge, Attitude, Saudi Arabia


2018 ◽  
Vol 2 (3) ◽  
pp. 1-10
Author(s):  
Lim Shiang Cheng ◽  
Jens Aagaard-Hansen ◽  
Feisul Idzwan Mustapha ◽  
Ulla Bjerre-Christensen

Introduction: Studies from many parts of the world have explored factors associated with poor diabetes self-management including Diabetes Self-Management Education (DSME). Research Methodology: This study was conducted among 162 diabetes patients at primary healthcare clinics in Malaysia using semi-structured exit-interviews to explore their perceptions, attitudes and practices in relation to self-care and encounters with primary health care providers. Results and Discussion: Generally, the patients had limited knowledge, lack of motivation and encountered difficulties in diabetes self-management. The DSME was inadequate due to limited time allocated for consultations with doctors, language barriers and the lack of interpersonal and communication skills of HCPs. Conclusion: In view of the positive effects of quality DSME on the health outcomes and quality of life among diabetes patients, it is important for the primary healthcare clinics in Malaysia to strengthen the diabetes services through training in communication of all HCPs, awareness of language difference and task shifting.


Objectives: The primary objective of this study is to assess three domains - the knowledge, attitude and practice related to the Intrauterine Contraceptive Device (IUCD) among primary health care providers (physicians and nurses) in Oman. The secondary objective is to compare the IUCD-related knowledge, attitude and practice of health care providers in primary health care between physicians and nurses. Methods: A descriptive cross-sectional survey was conducted in primary health care centers in Muscat region of Oman from May, 2014 until September, 2015. The survey was a self-administered questionnaire contained questions to assess factual knowledge, attitudes and practice of IUCD. The questionnaire was distributed to female health care providers only. Data was collected by researchers and analyzed using SPSS version 20. Results: Total 269 primary health care providers completed the questionnaire. 109 (40.52%) participants had good and 131 (48.70%) had average actual knowledge related to IUCD. The main reasons providers cited for not recommending the IUCD were concerns about the side effects; 174 (64.68%) mentioned that it causes bleeding and 127 (47.21%) reported that it needs service provider. Only 140 (52.43%) of the providers would routinely recommend IUCD to their clients. Conclusion: Future educational programs for health care providers should address the educational needs in the identified areas including misconceptions with regards to IUCD failure rate and side effects. Future training programs are also required to increase the technical competence of insertion and confidence in handling the side effects of IUCD.


Sign in / Sign up

Export Citation Format

Share Document