scholarly journals Obstetrical Healthcare Personnel's Attitudes and Perceptions on Maternal Vaccination with Tetanus-Diphtheria-Acellular Pertussis and Influenza

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Vini Vijayan ◽  
Matthew Kim ◽  
Kenneth M. Zangwill ◽  
Chrisanna Mink ◽  
Sylvia Yeh
Keyword(s):  
Perceived Barriers ◽  
Influenza Vaccines ◽  
Healthcare Personnel ◽  
Postpartum Women ◽  
Provider Training ◽  
Web Based ◽  
Substantial Discrepancy ◽  
Included Patient ◽  
Perceived Benefit ◽  
Patient Refusal

Objectives. To assess perceptions of obstetrical healthcare personnel (HCP) regarding routine delivery of Tdap and influenza vaccines to pregnant and postpartum women and identify perceived barriers to vaccination. Methods. Anonymous Web-based survey of obstetricians and nurses caring for pregnant and/or postpartum women. Results. We contacted 342 HCP and received 163 (48%) completed surveys (33/142 (23%) obstetricians, 130/200 (65%) nurses). Among obstetricians, 72% and 63% thought it was “beneficial” to immunize postpartum women against influenza and pertussis, respectively. Only 8% reported vaccinating >75% of pregnant women in their care against influenza. Similarly, <1% of obstetricians reported vaccinating against pertussis. Of all HCP surveyed, 92% and 58% were familiar with ACIP recommendations for influenza and pertussis, respectively. Reported perceived barriers included patient refusal to be vaccinated, reimbursement difficulties, and discomfort in providing vaccine education. Ninety-four percent of respondents agreed that standing orders would be helpful to ensure postpartum vaccination. Conclusions. HCP were less familiar with ACIP recommendations for Tdap compared to influenza vaccines. Substantial discrepancy existed between perceived benefit of vaccination and reported immunization practices. Most identified barriers could be addressed with provider training; however, other barriers require review and changes in systematic policies related to vaccine reimbursement.

scholarly journals Emergency physicians’ attitudes and perceived barriers to the implementation of take-home naloxone programs in Canadian emergency departments

CJEM ◽  
2017 ◽  
Vol 20 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Lauren Lacroix ◽  
Lisa Thurgur ◽  
Aaron M. Orkin ◽  
Jeffrey J. Perry ◽  
Ian G. Stiell
Keyword(s):  
At Risk ◽  
Perceived Barriers ◽  
Face Validity ◽  
Opioid Overdose ◽  
Emergency Physicians ◽  
Web Based ◽  
Health Crisis ◽  
Canadian Association ◽  
National Public Health

AbstractObjectivesRates of opioid-related deaths have reached the level of national public health crisis in Canada. Community-based opioid overdose education and naloxone distribution (OEND) programs distribute naloxone to people at risk, and the emergency department (ED) may be an underutilized setting to deliver naloxone to these people. The goal of this study was to identify Canadian emergency physicians’ attitudes and perceived barriers to the implementation of take-home naloxone programs.MethodsThis was an anonymous Web-based survey of members of the Canadian Association of Emergency Physicians. Survey questions were developed by the research team and piloted for face validity and clarity. Two reminder emails were sent to non-responders at 2-week intervals. Respondent demographics were collected, and Likert scales were used to assess attitudes and barriers to the prescription of naloxone from the ED.ResultsA total of 459 physicians responded. The majority of respondents were male (64%), worked in urban tertiary centres (58.3%), and lived in Ontario (50.6%). Overall, attitudes to OEND were strongly positive; 86% identified a willingness to prescribe naloxone from the ED. Perceived barriers included support for patient education (57%), access to follow-up (44%), and inadequate time (37%). In addition to people at risk of overdose, 77% of respondents identified that friends and family members may also benefit.ConclusionsCanadian emergency physicians are willing to distribute take-home naloxone, but thoughtful systems are required to facilitate opioid OEND implementation. These data will inform the development of these programs, with emphasis on multidisciplinary training and education.

Current practice in treating chronic venous disease by Canadian vascular surgeons

2018 ◽  
Vol 34 (6) ◽  
pp. 414-420
Author(s):  
Gary K Yang ◽  
Jerry C Chen
Keyword(s):  
Full Range ◽  
Perceived Barriers ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Compression Stockings ◽  
Web Based ◽  
Endovenous Ablation ◽  
Training Background ◽  
Current Guidelines ◽  
Question Survey

Objective To evaluate the practice patterns and interests of vascular surgeons in Canada in the treatment of chronic venous disorder. Methods A web-based 19-question survey was sent to 155 active members of the Canadian Society for Vascular Surgery. Questions assessed training background, interest in venous disease, practice site, venous treatments offered, and obstacles to therapy. Results A total of 64 responses (41%) were acquired. Respondents were roughly equal from academic (55%) and community (45%) sites with an even distribution of years in practice. Only 43% offered full range of therapy, which includes compression stockings, sclerotherapy, vein surgery, and endovenous ablation. The main challenges hindering venous practice include lack of time due to overwhelming arterial pathologies (67%), equipment cost/office space limitations (53%), and lack of knowledge or skills in contemporary procedures (28%). The majority of surgeons felt that their residency and fellowship did not prepare them for an active venous practice (69%). Fifty-four percent of the respondents perceived barriers in getting venous ultrasound imaging for their patients. Only 19% of the surgeons find venous disease interesting. Characteristics of these interested surgeons were analyzed and found to be very different from surgeons who did not expressed interest. An overwhelming 92% of all respondents believe that vascular surgeons should be leaders in delivering care for venous disease. Conclusion The treatment of chronic venous disorder has advanced over the last few decades but significant obstacles exist for Canadian surgeons to deliver venous therapy in accordance with current guidelines.

Assessing the Impact of Provider Training and Perceived Barriers on the Provision of Spiritual Care: a Mixed Methods Study

2021 ◽  
Author(s):  
Julia McGee ◽  
Elizabeth Palmer Kelly ◽  
Joseph Kelly-Brown ◽  
Erin Stevens ◽  
Brittany L. Waterman ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Spiritual Care ◽  
Mixed Methods Study ◽  
Perceived Barriers ◽  
Provider Training ◽  
The Impact

Community Pharmacists’ as Influenza immunizers in a Middle Eastern country: A national web-based cross-sectional study

2021 ◽  
Author(s):  
Dalal Youssef ◽  
Linda Abou Abbas ◽  
Hamad Hassan
Keyword(s):  
Influenza Vaccine ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Influenza Vaccines ◽  
Attitude Score ◽  
Patient Privacy ◽  
Sectional Study ◽  
Cross Sectional ◽  
Web Based ◽  
Factors Associated

Abstract Background Utilizing community pharmacists (CPs) as immunizers has being adopted in various countries as approach to boost influenza vaccination coverage. Our study aims to explore the Lebanese CPs’ willingness to administer influenza vaccine, and to identify factors associated with this willingness. Methods This is a web-based, cross-sectional study, conducted over 2 months, from the 1st of November to the end of December 2020, among Lebanese CPs. An anonymous, questionnaire using google form was sent electronically to pharmacists. The collected data was analyzed using the statistical software SPSS (Statistical Package for Social Sciences). Bivariate and multivariate analyses were performed to examine factors associated with the willingness of CPs to administer influenza vaccine. Results A total of 412 CPs participated in this survey of which 76.9% are willing to administer influenza vaccines. More than 90% of them had a good overall knowledge score and 88.8% of CPs showed a positive overall attitude score, particularly towards involvement of CPs in influenza vaccine provision. Their willingness to administer vaccine was positively associated with the younger age (aOR = 3.106 with 95% CI (1.597 to 6.040)), higher education level (aOR = 2.022 with 95% CI (1.093 to 3.741)), previous experience in immunization (aOR = 2.725 with 95% CI (1.320 to 5.627)) and urbanicity of pharmacy (aOR = 1.542 with 95% CI(1.219 to 4.627)). Extensive working hours (aOR = 2.341 with 95% CI (1.131 to 4.845)), working in pharmacies that are operating round-the-clock, showing positive attitude towards immunization (aOR = 3.014 with 95% CI (1.872 to 10.422)) and towards provision of influenza vaccines (aOR = 13.721 with 95% CI (13.721 to 38.507)) were also positively associated to this willingness. Conversely, patient privacy (aOR = 0.553 with 95% CI (0.079 to 0.983)), time and cost for professional development (aOR = 0.551 with 95% CI (0.172 to 0.918)), limited patient’s trust (aOR = 0.339 with 95% CI (0.203 to 0.784)), financial remuneration (aOR = 0.182 with 95% CI (0.088 to 0.377)), and requirement of formal certification in vaccine administration (aOR = 0.182 with 95% CI (0.088 to 0.377)) were negatively associated to this willingness. Conclusion Addressing the unearthed concerns related to utilizing CPs as influenza immunizers through a concerted effort is a key to success in any future implementation of vaccination services in pharmacies.

DSS for Health Emergency Response

2011 ◽  
Vol 1 (2) ◽  
pp. 39-56 ◽  
Author(s):  
Dimitris Oikonomou ◽  
Vassilis Moulianitis ◽  
Dimitris Lekkas ◽  
Panayiotis Koutsabasis
Keyword(s):  
Emergency Response ◽  
User Interfaces ◽  
Healthcare Personnel ◽  
Call Centre ◽  
Dynamic Information ◽  
Ambulance Personnel ◽  
Web Based ◽  
Decision Making Processes ◽  
Public Emergency ◽  
Based Medicine

This paper presents the design approach and architecture of a Decision Support System (DSS) for the Hellenic Centre for Emergency Health Care (EKAB, http://www.ekab.gr). The DSS supports the cooperation and decision-making processes at the EKAB call centre concerning the effective activation and allocation of appropriate resources mainly: ambulances, healthcare personnel and other public emergency resources like fire fighting and police. The DSS is a geographic web-based mash-up that builds on top of existing information systems and databases, and collects, aggregates, records, and presents various types of dynamic information about medical incidents in real time, promoting evidence-based medicine. The system provides a number of user interfaces (web-based and mobile) for call centre operators, radio centre operators, ambulance personnel, and administration. A contextual approach was necessary for the design of the system based on various related methods. Field observation of the current ways of work at EKAB sites, design, and development of data resources and user interfaces were conducted.

scholarly journals Suicide Safety Planning: Clinician Training, Comfort, and Safety Plan Utilization

2020 ◽  
Vol 17 (18) ◽  
pp. 6444
Author(s):  
Emma H. Moscardini ◽  
Ryan M. Hill ◽  
Cody G. Dodd ◽  
Calvin Do ◽  
Julie B. Kaplow ◽  
...  
Keyword(s):  
Warning Signs ◽  
Safety Planning ◽  
Personal Factors ◽  
Provider Training ◽  
Plan Implementation ◽  
Web Based ◽  
Clinician Training ◽  
Safety Plan ◽  
Survey Results ◽  
Specific Safety

Extant literature has demonstrated that suicide safety planning is an efficacious intervention for reducing patient risk for suicide-related behaviors. However, little is known about factors that may impact the effectiveness of the intervention, such as provider training and comfort, use of specific safety plan elements, circumstances under which providers choose to use safety planning, and personal factors which influence a provider’s decision to use safety planning. Participants were (N = 119) safety plan providers who responded to an anonymous web-based survey. Results indicated that most providers had received training in safety planning and were comfortable with the intervention. Providers reported that skills such as identifying warning signs and means safety strategies were routinely used. Providers who reported exposure to suicide were more likely to complete safety plans with patients regardless of risk factors. In addition, almost 70% of providers indicated a need for further training. These data provide important considerations for safety plan implementation and training.

Mass casualty incidents and B-Con training

2018 ◽  
Vol 16 (6) ◽  
pp. 397
Author(s):  
Jose A. Robaina, MD ◽  
Scott B. Crawford, MD ◽  
Diane Huerta, MPH ◽  
Danielle Austin, BA ◽  
Radosveta M. Wells, MD ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Mass Casualty ◽  
Perceived Barriers ◽  
Future Research ◽  
Bleeding Control ◽  
Post Intervention ◽  
Perceived Susceptibility ◽  
Perceived Severity ◽  
Airway Control ◽  
Perceived Benefit

Objective: The purpose of this study was to determine if providing mass casualty training, utilizing the Bleeding Control for the Injured (B-Con) course would allow participants to feel more confident to provide bystander aid to wounded victims in a mass casualty incident (MCI).Design: Quasi-experimental pre-post intervention study.Setting: Participants were healthcare providers attending a trauma research conference hosted by a medical university.Interventions: Participants were given a group lecture in each of the three B-Con skill areas. These include: bleeding control with a tourniquet, bleeding control with gauze, and airway control with a jaw thrust. Participants were then divided into three groups and practiced each skill with instruction from B-Con certified trainers.Main outcomes measures: The primary outcome was scores from pre- to post-intervention in the categories of self-efficacy, perceived benefit, perceived susceptibility, perceived barriers, and perceived severity related to involvement in an MCI.Results: The study included 67 participants, all identifying as medical providers. Means in the categories of self-efficacy, perceived benefit, perceived susceptibility, perceived barriers, and perceived severity significantly increased from pre-intervention to postintervention among the paired variables.Conclusions: This study demonstrates the effectiveness of B-Con training in improving the confidence of participants. By increasing the number of persons who are trained for an MCI, there will be an increased probability that triage and immediate care will be rendered when needed. Future research needs to be completed evaluating the effect of training on a layperson study sample.

scholarly journals The Development of a Nationwide, Multicenter Electronic Database for Spinal Instrumentation Surgery in Japan: Japanese Spinal Instrumentation Society Database (JSIS-DB)

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 78
Author(s):  
Haruki Ueda ◽  
Hideyuki Arima ◽  
Tokumi Kanemura ◽  
Masao Koda ◽  
Mitsuru Yagi ◽  
...  
Keyword(s):  
Large Scale ◽  
Healthcare Expenditure ◽  
Spinal Instrumentation ◽  
Health Insurance System ◽  
Clinical Database ◽  
Early Complications ◽  
National Health Insurance System ◽  
Web Based ◽  
Registry System ◽  
Included Patient

(1) Background: Despite the number of complicated and expensive spine surgery procedures maintained by the national health insurance system in Japan, until now there has been no large-scale multicenter clinical database for this field to understand and improve healthcare expenditure and treatment outcomes. The purpose of this report is to announce the establishment and methodology of a nationwide registry system for spinal instrumentation surgeries by the Japanese Spinal Instrumentation Society (JSIS), and to report the progress over the first 1.5 years of this database’s operation. (2) Methods: The JSIS recently produced an online database with an electronic server. The collected information included patient background, surgery information, and early complications of primary and revision cases. Analysis included data from February 2018, when registration began, to August 2019. (3) Results: As of August 2019, 73 facilities have completed the required paperwork to start, and 55 facilities have registered cases. Of the total 5456 registered cases, 4852 were valid and 2511 were completed. (4) Conclusions: JSIS-DB, the nationwide web-based registry system for spinal instrumentation surgery in Japan, was launched for the purpose of research, healthcare policy regulation, and improved patient care, and its methodology and progress in the first 1.5 years are reported in this study.

scholarly journals Analysis of Related Factors to the Anxiety State of Dental Healthcare Personnel During the COVID-19 Pandemic in Yichang, China

2020 ◽  
Author(s):  
Suli Zhao ◽  
Jing Cao ◽  
Lin Zhang ◽  
Beibei Liu ◽  
Rongcan Sun
Keyword(s):  
Anxiety Disorders ◽  
General Public ◽  
Healthcare Personnel ◽  
Anxiety State ◽  
Related Factors ◽  
Protective Measures ◽  
Web Based ◽  
Younger Age ◽  
Potential Factors ◽  
High Level

Abstract As Coronavirus Disease 2019 (COVID-19) has exerted impact on every aspect of daily life, it is important to adopt appropriate measures to cope with the situation. Since dental healthcare personnel (DHCP) are characterized with high level of stress and have the potential for exposure to infectious materials, the mental state of them requires concern. This study used two web-based questionnaires to compare the anxiety state of DHCP to that of the general public after dental settings in Yichang, China returned to a full scope of services. Subsequently, potential factors influencing the anxiety state of DHCP were analyzed. Results indicated that they were more likely to suffer from anxiety disorders than the general public were. For DHCP, those who were at a younger age, provided care without level three protective measures, had conflicts with patients or colleagues, and/or had less knowledge of COVID-19 were more prone to anxiety disorders. Practical suggestions were proposed at the end of this study to help DHCP maintain better mental health conditions. As COVID-19 continues to spread, this study could provide data support for adopting appropriate measures at dental settings.

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