Susceptibility of falling behind current medical knowledge among health-care professionals: the extended parallel process model

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Salman Bin Naeem ◽  
Rubina Bhatti ◽  
Khurshid Ahmad ◽  
Muhammad Rafi
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professionals ◽  
Process Model ◽  
Medical Knowledge ◽  
Parallel Process ◽  
Current Medical ◽  
Behavioral Changes ◽  
Extended Parallel Process Model ◽  
Content Type

Purpose The purpose of this paper is to appraise the possible response outcomes (no response, fear control or danger control) of a fear-based message on falling behind current medical knowledge among health-care professionals (HCPs). Design/methodology/approach This study was conducted using a quantitative research design. A cross-sectional survey was carried out in 2,873 health-care facilities across 36 districts of Punjab. The Extended Parallel Process Model (EPPM) provided a theoretical framework for this study. The important components to EPPM such as threat, efficacy and outcomes were used to collect the data. The collected data was analyzed using Statistical Package for Social Sciences (SPSS) version 22. Findings HCPs perceived high susceptibility and threat of falling behind current medical knowledge. A majority of the HCPs were at the danger control process and engaged in a behavior that is recommended for adaptive behavioral changes. Clinical experience and enrollment in post-graduation programs (e.g. FCPS, MCPS) were significant factors as to HCPs’ perceived response efficacy. Research limitations/implications The responses were obtained using a structured questionnaire, which is always subject to respondents’ personal biases and ability to understand the question’s statement. Practical implications This study has important implications in terms of introducing promotional, educational and logistical interventions that could help in HCPs overcoming the fear of falling behind current medical knowledge and develop productive and adoptive information behavior thus improving patient care and outcome. Originality/value This is the first large-scale empirical study in Pakistan that measured the level of threat and efficacy among HCPs using the EPPM. It proposes a framework for developing long-lasting adaptive information behavioral changes that may result in informed patient care and better decision-making.

scholarly journals Predictors of Health-Care Workers’ Unwillingness to Continue Working During the Peak of COVID-19 in Western Ethiopia: An Extended Parallel-Process Model Study

2021 ◽  
Vol Volume 14 ◽  
pp. 1165-1173
Author(s):  
Ashenafi Habte Woyessa ◽  
Adugna Oluma ◽  
Thanasekaran Palanichamy ◽  
Birtukan Kebede ◽  
Eba Abdissa ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Process Model ◽  
Parallel Process ◽  
Extended Parallel Process Model ◽  
Model Study ◽  
Care Workers ◽  
Western Ethiopia

scholarly journals Psychological predictors of intention and avoidance of attending organized mammography screening in Norway: applying the Extended Parallel Process Model

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Ivanova ◽  
Ingela Lundin Kvalem
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Mammography Screening ◽  
Psychological Factors ◽  
Process Model ◽  
Parallel Process ◽  
Extended Parallel Process Model ◽  
Screening Programs ◽  
Response Efficacy

Abstract Background Mammography screening is the main method for early detection of breast cancer in Norway. Few studies have focused on psychological determinants of both attendance and non-attendance of publicly available mammography screening programs. The aim of the current study, guided by the Extended Parallel Process Model, was to examine how psychological factors influence defensive avoidance of breast cancer screening and intention to attend mammography. Methods Cross-sectional survey data from a community sample of women living in Norway aged ≥ 18 (N = 270), and without a history of breast cancer, was collected from September 2018 to June 2019 and used to investigate the relationships between the Extended Parallel Process Model (EPPM) constructs and two outcomes: defensive avoidance of breast cancer screening and intention to attend mammography within the next two years. After adjusting for confounding factors, the hierarchical multiple linear regression analyses was conducted to assess the ability of the independent variables based on the EPPM to predict the two outcome variables. Significance level was chosen at p < 0.05. Results Multivariate analyses showed that defensive avoidance of breast cancer screening was predicted by lower perceived susceptibility to breast cancer (β =  − 0.22, p = 0.001), lower response efficacy of mammography screening (β =  − 0.33, p = 0.001), higher breast cancer fear (β = 0.15, p = 0.014), and checking breasts for lumps (β =  − 0.23, p = 0.001). Intention to attend mammography within the next two years was predicted by higher response efficacy of mammography screening (β = 0.13, p = 0.032), having a lower educational level (β =  − 0.10, p = 0.041), and regular previous mammography attendance compared to never attending (β = 0.49, p = 0.001). Conclusions The study revealed that defensive avoidance of breast cancer screening and intention to attend mammography were not predicted by the same pattern of psychological factors. Our findings suggest future health promotion campaigns need to focus not only on the psychological factors that encourage women’s decision to attend the screening, but also to counter factors that contribute to women’s decision to avoid it.

scholarly journals Building capacity for implementation—the KT Challenge

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Agnes T. Black ◽  
Marla Steinberg ◽  
Amanda E. Chisholm ◽  
Kristi Coldwell ◽  
Alison M. Hoens ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professionals ◽  
Qualitative Data ◽  
Practice Change ◽  
Evidence Based ◽  
Science Literature ◽  
Health Care Settings ◽  
Improvement Programs ◽  
The Impact

Abstract Background The KT Challenge program supports health care professionals to effectively implement evidence-based practices. Unlike other knowledge translation (KT) programs, this program is grounded in capacity building, focuses on health care professionals (HCPs), and uses a multi-component intervention. This study presents the evaluation of the KT Challenge program to assess the impact on uptake, KT capacity, and practice change. Methods The evaluation used a mixed-methods retrospective pre-post design involving surveys and review of documents such as teams’ final reports. Online surveys collecting both quantitative and qualitative data were deployed at four time points (after both workshops, 6 months into implementation, and at the end of the 2-year funded projects) to measure KT capacity (knowledge, skills, and confidence) and impact on practice change. Qualitative data was analyzed using a general inductive approach and quantitative data was analyzed using non-parametric statistics. Results Participants reported statistically significant increases in knowledge and confidence across both workshops, at the 6-month mark of their projects, and at the end of their projects. In addition, at the 6-month check-in, practitioners reported statistically significant improvements in their ability to implement practice changes. In the first cohort of the program, of the teams who were able to complete their projects, half were able to show demonstrable practice changes. Conclusions The KT Challenge was successful in improving the capacity of HCPs to implement evidence-based practice changes and has begun to show demonstrable improvements in a number of practice areas. The program is relevant to a variety of HCPs working in diverse practice settings and is relatively inexpensive to implement. Like all practice improvement programs in health care settings, a number of challenges emerged stemming from the high turnover of staff and the limited capacity of some practitioners to take on anything beyond direct patient care. Efforts to address these challenges have been added to subsequent cohorts of the program and ongoing evaluation will examine if they are successful. The KT Challenge program has continued to garner great interest among practitioners, even in the midst of dealing with the COVID-19 pandemic, and shows promise for organizations looking for better ways to mobilize knowledge to improve patient care and empower staff. This study contributes to the implementation science literature by providing a description and evaluation of a new model for embedding KT practice skills in health care settings.

Voice activity detection using optimal window overlapping especially over health-care infrastructure

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shilpa Sharma ◽  
Punam Rattan ◽  
Anurag Sharma ◽  
Mohammad Shabaz
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Research Work ◽  
Voice Activity Detection ◽  
Support Vector ◽  
Activity Detection ◽  
Content Type ◽  
Health Care Infrastructure ◽  
Voice Activity ◽  
Optimal Window

Purpose This paper aims to introduce recently an unregulated unsupervised algorithm focused on voice activity detection by data clustering maximum margin, i.e. support vector machine. The algorithm for clustering K-mean used to solve speech behaviour detection issues was later applied, the application, therefore, did not permit the identification of voice detection. This is critical in demands for speech recognition. Design/methodology/approach Here, the authors find a voice activity detection detector based on a report provided by a K-mean algorithm that permits sliding window detection of voice and noise. However, first, it needs an initial detection pause. The machine initialized by the algorithm will work on health-care infrastructure and provides a platform for health-care professionals to detect the clear voice of patients. Findings Timely usage discussion on many histories of NOISEX-92 var reveals the average non-speech and the average signal-to-noise ratios hit concentrations which are higher than modern voice activity detection. Originality/value Research work is original.

Extended Parallel Process Model and H5N1 Influenza Virus

2008 ◽  
Vol 102 (2) ◽  
pp. 539-550 ◽  
Author(s):  
Wanda Siu
Keyword(s):  
Influenza Virus ◽  
Process Model ◽  
Parallel Process ◽  
H5n1 Influenza Virus ◽  
Extended Parallel Process Model ◽  
Persuasive Message ◽  
H5n1 Influenza ◽  
The Usa ◽  
Promotional Message ◽  
Significant Health

This study integrated the Extended Parallel Process Model and forewarning cues to assess the promotion of preventive measures against the H5N1 influenza virus, a significant health threat that affects Asia, Europe, and the USA. There are two types of forewarning, (1) telling the audience that they will hear messages intended to persuade them and (2) telling the audience the topic and stance of the impending persuasive message. Analysis of ratings by 265 undergraduates indicated that forewarnings of the topic and stance of a promotional message on the H5N1 virus facilitated elaboration of coping-related thoughts which enhance perceived self-efficacy and a stronger behavioral intention to combat H5N1. Conversely, the elaboration of danger-related thoughts evoked some fear but enhanced source perception.

Preparation for safeguarding in UK pre-registration graduate nurse education

2015 ◽  
Vol 17 (6) ◽  
pp. 371-379 ◽  
Author(s):  
Julie McGarry ◽  
Charley Baker ◽  
Claire Wilson ◽  
Anne Felton ◽  
Anirban Banerjee
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Student Evaluation ◽  
Care Delivery ◽  
Educational Support ◽  
Content Type ◽  
Graduate Nurse ◽  
Nursing Curricula ◽  
Adults And Children ◽  
The Uk

Purpose – It is now widely acknowledged that health care professionals on the front line of care delivery will often be among the first to whom patients or clients who have experienced abuse will present or disclose abuse in a clinical context. It is therefore of pivotal importance that all health care professionals, including nurses, are adequately prepared at the earliest opportunity to effectively respond to a disclosure of abuse or identify where abuse may be suspected. The paper aims to discuss these issues. Design/methodology/approach – In order to address this contemporary challenge within health care the authors present a model, developed in the UK, for the embedding of safeguarding knowledge, skills and attitudes within undergraduate pre-registration nursing curricula. This model is integrative and focuses on the acquisition of knowledge and skills in the field of safeguarding vulnerable adults and children. Findings – Student evaluation to date has been extremely positive with the majority of student responses indicating that individuals felt that they had received the requisite level of educational support and knowledge to enable them to recognise concerns. However, it was also clear that students felt that the knowledge gained within the classroom setting needed to be effectively supported and translated in the practice setting. Practical implications – Safeguarding clearly forms a central part of professional accountability and responsibility. It is therefore pivotal that professionals receive the requisite education, skills and knowledge at the earliest opportunity. Originality/value – To the authors’ knowledge this initiative is novel in approach and as such has the potential to inform similar education programmes.

scholarly journals Persepsi Remaja Terhadap Kesan Menakutkan Pada Peringatan Kesehatan Bergambar Di Bungkus Rokok Ditinjau Dari Extended Parallel Process Model

2018 ◽  
Vol 1 (1) ◽  
pp. 10
Author(s):  
Andi Annisa Dwi Rahmawati ◽  
Rita Damayanti ◽  
Dien Anshari
Keyword(s):  
Process Model ◽  
Parallel Process ◽  
Extended Parallel Process Model

Latar Belakang. Tujuan pencantuman Peringatan Kesehatan Bergambar (PKB) pada bungkus rokok adalah mencegah remaja dari kebiasaan merokok. Dengan melihat gambar menakutkan pada PKB, remaja perokok juga diharapkan termotivasi berhenti merokok.Tujuan. Penelitian ini bertujuan untuk mengetahui bagaimana pesan persuasif yang berusaha memunculkan rasa takut berperan dalam proses penerimaan atau penolakan pesan pada siswa yang pernah mendapat intervensi program berhenti merokok bernama Not on Tobacco (NOT)  dengan yang belum pernah mendapatkannya. Metode. Penelitian ini adalah penelitian kualitatif dengan desain Rapid Asessment Procedures (RAP). Metode yang digunakan dalam pengumpulan data adalah wawancara mendalam.Hasil. Hasil penelitian menunjukkan siswa yang mendapat intervensi program berhenti merokok memiliki keyakinan diri yang lebih tinggi untuk dapat mengurangi konsumsi rokok atau berhenti merokok dengan mudah dibandingkan siswa yang tidak mendapat intervensi. Mereka yang mendapat intervensi juga menunjukkan penerimaan pesan paling baik. Hal ini terlihat dari perubahan niat, sikap, dan perilaku informan ke arah yang positif, berkaitan dengan perilaku merokok. Sementara itu, siswa yang tidak mendapat intervensi menunjukkan penolakan pesan akibat tidak dapat mengendalikan rasa takut. Hal ini tercermin dari perilaku siswa yang menghindari melihat PKB.

scholarly journals Examining the role of MEDLINE as a patient care information resource: an analysis of data from the Value of Libraries study

2017 ◽  
Vol 105 (4) ◽  
Author(s):  
Kathel Dunn ◽  
Joanne Gard Marshall ◽  
Amber L. Wells ◽  
Joyce E. B. Backus
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Patient Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Information Resources ◽  
Information Resource ◽  
Care Providers ◽  
Other Information

Objective: This study analyzed data from a study on the value of libraries to understand the specific role that the MEDLINE database plays in relation to other information resources that are available to health care providers and its role in positively impacting patient care.Methods: A previous study on the use of health information resources for patient care obtained 16,122 responses from health care providers in 56 hospitals about how providers make decisions affecting patient care and the role of information resources in that process. Respondents indicated resources used in answering a specific clinical question from a list of 19 possible resources, including MEDLINE. Study data were examined using descriptive statistics and regression analysis to determine the number of information resources used and how they were used in combination with one another.Results: Health care professionals used 3.5 resources, on average, to aid in patient care. The 2 most frequently used resources were journals (print and online) and the MEDLINE database. Using a higher number of information resources was significantly associated with a higher probability of making changes to patient care and avoiding adverse events. MEDLINE was the most likely to be among consulted resources compared to any other information resource other than journals.Conclusions: MEDLINE is a critical clinical care tool that health care professionals use to avoid adverse events, make changes to patient care, and answer clinical questions.

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