Health-care provider challenges to the identification of human trafficking in health-care settings: A qualitative study

2017 ◽  
Vol 4 (3) ◽  
pp. 213-230 ◽  
Author(s):  
Frances H. Recknor ◽  
Gretchen Gemeinhardt ◽  
Beatrice J. Selwyn
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Human Trafficking ◽  
Health Care Provider ◽  
Care Provider ◽  
Health Care Settings

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.

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

Transgender and Nonbinary Experiences of Victimization in Health care

2020 ◽  
pp. 088626052090509 ◽  
Author(s):  
Shanna K. Kattari ◽  
Matthew Bakko ◽  
Lisa Langenderfer-Magruder ◽  
Brendon T. Holloway
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Care Setting ◽  
Sexual Contact ◽  
Health Care Setting ◽  
Negative Experiences ◽  
Health Care Settings ◽  
Unwanted Sexual Contact

Transgender and nonbinary (TNB) individuals experience high rates of myriad types of victimization, including in health care settings. Many TNB people avoid medical visits for fear of mistreatment and, when they do visit a provider, report negative experiences (e.g., denial of services, misgendering, verbal abuse). These negative experiences are heightened for TNB individuals who have an intersecting marginalized identity (e.g., low socioeconomic status, disability). Using data from the 2015 United States Transgender Survey, the largest survey of TNB individuals in the United States to date, the present study examines differential experiences of victimization in health care settings by TNB identity and other demographics (i.e., race, age, class, educational level, disability). A series of multivariate logistic regressions were run to determine adjusted odds ratios (AORs) for TNB individuals recently (i.e., in the past year) experiencing four forms of victimization: (a) doctor/health care provider used harsh or abusive language; (b) doctor/health care provider was physically rough or abusive; (c) patient was verbally harassed in health care setting; and (d) patient experienced unwanted sexual contact in health care setting. Frequency of victimization varied by gender identity and type of victimization; the most prevalent form was verbal harassment by a doctor/provider (5.84%) and the least prevalent was unwanted sexual contact in a health care setting (1.20%). Although findings varied by form of violence, generally, regression models demonstrated elevated odds of experiencing some form of health care victimization for those who were transgender compared with genderqueer, biracial/multiracial compared with White, low income compared with higher income, and disabled compared to non-disabled. In addition, odds ratios for victimization increased with age and, for some forms, increased with low educational attainment. We discuss the need for increased mandatory trainings for providers to reduce discriminatory and violent behavior toward TNB patients, as well as intersectional research to better ascertain the extent and nuance of victimization within TNB health care.

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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