scholarly journals Personnel’s Experiences of Phlebotomy Practices after Participating in an Educational Intervention Programme

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Karin Bölenius ◽  
Christine Brulin ◽  
Ulla H. Graneheim
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Educational Intervention ◽  
Qualitative Content Analysis ◽  
Study Groups ◽  
Intervention Programme ◽  
Common Procedure ◽  
Delay In Diagnosis ◽  
Primary Health ◽  
Transfer Of Information

Background. Blood specimen collection is a common procedure in health care, and the results from specimen analysis have essential influence on clinical decisions. Errors in phlebotomy may lead to repeated sampling and delay in diagnosis and may jeopardise patient safety. This study aimed to describe the experiences of, and reflections on, phlebotomy practices of phlebotomy personnel working in primary health care after participating in an educational intervention programme (EIP).Methods. Thirty phlebotomists from ten primary health care centres participated. Their experiences were investigated through face-to-face interviews. Findings were analysed using qualitative content analysis.Results. The participants perceived the EIP as having opened up opportunities to reflect on safety. The EIP had made them aware of risks in relation to identification procedures, distractions from the environment, lack of knowledge, and transfer of information. The EIP also resulted in improvements in clinical practice, such as a standardised way of working and increased accuracy. Some said that the training had reassured them to continue working as usual, while others continued as usual regardless of incorrect procedure.Conclusions. The findings show that EIP can stimulate reflections on phlebotomy practices in larger study groups. Increased knowledge of phlebotomy practices improves the opportunities to revise and maximise the quality and content of future EIPs. Educators and safety managers should reflect on and pay particular attention to the identification procedure, distractions from the environment, and transfer of information, when developing and implementing EIPs. The focus of phlebotomy training should not solely be on improving adherence to practice guidelines.

Effectiveness of a Primary Health Care Program on Urban and Rural Community Disaster Preparedness, Islamic Republic of Iran: A Community Intervention Trial

2013 ◽  
Vol 7 (5) ◽  
pp. 481-490 ◽  
Author(s):  
Ali Ardalan ◽  
Hani Mowafi ◽  
Hossein Malekafzali Ardakani ◽  
Farid Abolhasanai ◽  
Ali-Mohammad Zanganeh ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Educational Intervention ◽  
Disaster Preparedness ◽  
Community Intervention ◽  
Control Group ◽  
Intervention Trial ◽  
Primary Health ◽  
And Control

AbstractBackgroundTo evaluate the effectiveness of a capacity-building intervention administered through a primary health care (PHC) system on community disaster preparedness in Iran.MethodsA controlled community intervention trial with pre- and postassessments was conducted in 2011 in 3 provinces of Iran. In each province, 2 areas were chosen and randomly selected as an intervention or control group. A total of 9200 households were in the intervention area and 10 010 were in the control area. In each study group in each province 250 households were sampled for pre- and postassessment surveys. Community health volunteers led by PHC staff administered an educational intervention covering elements of hazard awareness and preparedness, with a focus on earthquakes and floods. Relative changes for awareness and readiness scores were assessed to demonstrate changes in outcome variables from pre- to postassessments in intervention and control groups. An effectiveness test of significance was based on interaction between time and area.ResultsHouseholds in intervention communities exhibited improved disaster awareness and readiness with respect to all outcome measures. Relative changes in awareness in intervention and control areas were 2.94 and -0.08, respectively (P < .001). Relative changes for readiness scores were 5.52 in intervention areas and 0.56 in control areas (P < .001). Relative changes for awareness and readiness were significantly correlated with a community's baseline risk perception and previous experience with natural disasters (P < .001).ConclusionsAn educational intervention administered through the PHC system effectively improved disaster awareness and readiness at a community level. For sustainability, community disaster reduction programs must be integrated into routine public health service delivery. (Disaster Med Public Health Preparedness. 2013;7:481-490)

Challenges and innovations in Primary Health Care in the Amazon: A Scoping Review

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Sousa ◽  
C Wallace ◽  
J Farmer ◽  
F J Herkrath ◽  
A Bousquat
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Social Relations ◽  
Scoping Review ◽  
Qualitative Content Analysis ◽  
Small Towns ◽  
Policy Makers ◽  
Analytical Strategy ◽  
Primary Health ◽  
Scientific Papers

Abstract Background The Amazon region crosses the territorial borders of nine countries with a vast complexity of ecological and social relations. Outside of large and medium cities, this region comprises a mosaic of ranches, villages, farms, isolated houses and small towns scattered over a vast territory, in large part accessed only by waterway. Working with health in this region requires specific strategies that respect the dynamics of this place. This research aimed to reveal the challenges and innovations of Primary Health Care (PHC) in places outside the largest cities in the Amazon. Methods The scoping review methodology was applied to peer-reviewed articles. Six databases were searched to identify scientific papers published in English, Spanish and Portuguese between January 2000 and November 2019. The analytical strategy was to combine descriptive statistics and qualitative content analysis to extract from each article all the content related to the research questions. Results This review included 26 papers. The most frequent challenges reported in the studies were related to the way of working (8), specific training for professionals (5), leadership and governance (4) and infrastructure improvement (2). A smaller number of studies were dedicated to innovative experiences, which approached training and methodologies for health agents recruited in the communities (4), technologies to the services (2) and a river unit as a model to work in Amazon(1). Conclusions The challenges presented in this review indicate the need to build services that are more sensitive to Amazonian locations and the need to train professionals for this region. Also, it revealed innovations with positive impacts which can be taken as key lessons regarding the functioning of PHC in the Amazon. Key messages This research fills a knowledge gap about PHC in the Amazon. The challenges and innovations presented in the review provide insights to assist PHC policy makers and managers with the design and delivery of health services in the Amazon.

scholarly journals Physiotherapists’ experiences of osteoarthritis guidelines in primary health care – an interview study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Karin Sturesdotter Åkesson ◽  
Anne Sundén ◽  
Eva Ekvall Hansson ◽  
Kjerstin Stigmar
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Qualitative Content Analysis ◽  
Clinical Work ◽  
Joint Disease ◽  
Care Providers ◽  
Primary Health ◽  
Quality Register ◽  
National Quality

Abstract Background Osteoarthritis is a common joint disease, globally. Guidelines recommend information, exercise and, if needed, weight reduction as core treatment. There is a gap between evidence-based recommended care for osteoarthritis and clinical practice. To increase compliance to guidelines, implementation was conducted. The aim of the study was to explore physiotherapists’ experiences of osteoarthritis guidelines and their experiences of implementation of the guidelines in primary health care in a region in southern Sweden. Methods Eighteen individual, semi-structured interviews with physiotherapists in primary health care were analysed with inductive qualitative content analysis. Results The analysis resulted in two categories and four subcategories. The physiotherapists were confident in their role as primary assessors for patients with osteoarthritis and the guidelines were aligned with their professional beliefs. The Supported Osteoarthritis Self-Management Programme, that is part of the guidelines, was found to be efficient for the patients. Even though the physiotherapists followed the guidelines they saw room for improvement since all patients with hip and/or knee osteoarthritis did not receive treatment according to the guidelines. Furthermore, the physiotherapists emphasised the need for management’s support and that guidelines should be easy to follow. Conclusion The physiotherapists believed in the guidelines and were confident in providing first line treatment to patients with osteoarthritis. However, information about the guidelines probably needs to be repeated to all health care providers and management. Data from a national quality register on osteoarthritis could be used to a greater extent in daily clinical work in primary health care to improve quality of care for patients with osteoarthritis.

scholarly journals Predictors of completing a primary health care diabetes prevention intervention programme in people at high risk of type 2 diabetes

Medicine ◽  
2018 ◽  
Vol 97 (5) ◽  
pp. e9790 ◽  
Author(s):  
Aleksandra Gilis-Januszewska ◽  
Jaana Lindström ◽  
Noël C Barengo ◽  
Jaakko Tuomilehto ◽  
Peter EH Schwarz ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Diabetes Prevention ◽  
Intervention Programme ◽  
Prevention Intervention ◽  
Primary Health
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