Automatic Evaluation of Cancer Treatment Texts for Gist Inferences and Comprehension

2019 ◽  
Vol 39 (8) ◽  
pp. 939-949 ◽  
Author(s):  
Christopher R. Wolfe ◽  
Mitchell Dandignac ◽  
Rachel Sullivan ◽  
Tatum Moleski ◽  
Valerie F. Reyna
Keyword(s):  
Health Care Providers ◽  
Grade Level ◽  
Automatic Evaluation ◽  
Care Providers ◽  
Fine Grained ◽  
Fuzzy Trace Theory ◽  
Cloze Procedure ◽  
Discourse Technology ◽  
The Mean ◽  
Inference Score

Background. It is difficult to write about cancer for laypeople such that everyone understands. One common approach to readability is the Flesch-Kincaid Grade Level (FKGL). However, FKGL has been shown to be less effective than emerging discourse technologies in predicting readability. Objective. Guided by fuzzy-trace theory, we used the discourse technology Coh-Metrix to create a Gist Inference Score (GIS) and applied it to texts from the National Cancer Institute website written for patients and health care providers. We tested the prediction that patient cancer texts with higher GIS scores are likely to be better understood than others. Design. In study 1, all 244 cancer texts were systematically subjected to an automated Coh-Metrix analysis. In study 2, 9 of those patient texts (3 each at high, medium, and low GIS) were systematically converted to fill-the-blanks (Cloze) tests in which readers had to supply the missing words. Participants (162) received 3 texts, 1 at each GIS level. Measures. GIS was measured as the mean of 7 Coh-Metrix variables, and comprehension was measured through a Cloze procedure. Results. Although texts for patients scored lower on FKGL than those for providers, they also scored lower on GIS, suggesting difficulties for readers. In study 2, participants scored higher on the Cloze task for high GIS texts than for low- or medium-GIS texts. High-GIS texts seemed to better lend themselves to correct responses using different words. Limitations. GIS is limited to text and cannot assess inferences made from images. The systematic Cloze procedure worked well in aggregate but does not make fine-grained distinctions. Conclusions. GIS appears to be a useful, theoretically motivated supplement to FKGL for use in research and clinical practice.

Quality and Readability of Online Information on In-Office Vocal Fold Injections

2019 ◽  
Vol 129 (3) ◽  
pp. 294-300
Author(s):  
Grace S. Yi ◽  
Amanda Hu
Keyword(s):  
Health Care ◽  
Patient Education ◽  
Health Care Providers ◽  
Grade Level ◽  
Vocal Fold ◽  
Online Information ◽  
Care Providers ◽  
Vocal Fold Injection ◽  
The Mean ◽  
Google Search

Objectives: Vocal fold injection augmentations are increasingly being performed in the office setting on awake patients, as opposed to the operating room. These procedures thus require patient cooperation and education. As the Internet is a widely-used resource for patients, our aim was to assess the quality and readability of online resources on in-office awake vocal fold injections. Methods: An online Google search using the terms “office vocal fold injection medialization” and “awake vocal fold injection” was conducted. The first 50 English-language websites were categorized into professional- and patient-targeted, and major and minor sources. They were analyzed using the Flesch Reading Ease Score (FRES), Flesch-Kincaid Grade Level (FKGL) test, and DISCERN quality score. Results: Fifty websites were evaluated, and the overall DISCERN score was 2.60 ± 1.01, the mean FRES was 32.16 ± 19.10, and the mean FKGL was 13.76 ± 4.12. Between the 25 professional-targeted and 25 patient-targeted websites, professional-targeted sites had significantly higher DISCERN ( P < .05) and FKGL ( P < .05) scores, and lower FRES ( P < .05) scores. Between the 30 major and 20 minor websites, major websites had significantly lower FRES ( P < .05) and higher FKGL ( P < .05) scores, and there was a trend toward significance for higher DISCERN scores ( P = .052). Conclusions: Our study shows that half of the top Google results for our topic were not written for patient education, but rather for health care professionals. The reading level of this information exceeds the recommended grade level for patient education materials, and may be less comprehensible than intended. While patient-targeted materials are easier to read than professional-targeted sites, they are of lower quality. The quality of the available online information on this topic is suboptimal for both patients and health care providers. This research highlights the need for more appropriate patient education materials given low health literacy rates.

scholarly journals Nurses’ knowledge and practices related to pain assessment in critically ill patients in a selected private hospital in Bangladesh

2018 ◽  
Vol 5 (10) ◽  
pp. 4219 ◽  
Author(s):  
Sipra Mondol ◽  
Faisal Muhammad ◽  
A. B. M. Alauddin Chowdhury
Keyword(s):  
Critically Ill ◽  
Health Care Providers ◽  
Pain Assessment ◽  
Subjective Experience ◽  
Sampling Technique ◽  
Care Providers ◽  
Cross Sectional ◽  
Management Interventions ◽  
The Mean ◽  
Nurses Knowledge

Background: Most of the time pain is difficult to assess and manage because of being inherently a subjective experience influenced by multiple factors. The perception and tolerance of pain may vary because of different psychological and social influences of the patient. Therefore it is important for health care providers to assess the pain so that individualized management interventions can be provided. This study was aimed to assess the nurses’ knowledge and practices related to pain assessment in critically ill patients.Methods: A descriptive cross-sectional study was carried out among 200 registered nurses working at different ICU in Square Hospital. The study was conducted within April to August 2017. A non-probability purposive sampling technique was used. The data was collected using pre-tested self-administered semi-structured questionnaire and it was analysed using SPSS 22.0 version.Results: About 81% of the respondents were in the age group 22-32 years and the mean age of the respondents was 27.74±12.06 years. About 79.0% of the respondents were female and 59.5% of the respondents had diploma in nursing. The mean monthly income of the respondents’ was 19450.5 taka. The majority (59.5%) of the respondents had less than 2 years’ service experience. About 85.5% of the respondents said it is important to assess the pain and need for analgesia before, during, and after wound care.Conclusions: Our findings reported that the nurses were reasonably knowledgeable about the principles of pain assessment. More than four-fifths of the respondents had adequate knowledge about pain assessment.

scholarly journals Nurses’ Knowledge, Attitude, and Performance about Disaster Management: A Case of Iran

2020 ◽  
Vol 13 (1) ◽  
pp. 441-446
Author(s):  
Sedighe S. T. Far ◽  
Milad A. Marzaleh ◽  
Nasrin Shokrpour ◽  
Ramin Ravangard
Keyword(s):  
Disaster Management ◽  
Health Care Providers ◽  
Work Experience ◽  
Three Dimensions ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Medical Sciences ◽  
Significant Relationships ◽  
The Mean ◽  
And Performance

Background: Iran is a disaster-prone country in which many natural and man-made disasters happen every year. Because the health sector is vital due to its nature of treatment and rehabilitation of the injured after the disasters, all health care providers, especially hospital nurses, should be prepared to provide the services they need. Objective: The present study aimed to determine the level of knowledge, attitude, and performance of nurses about disaster management in teaching hospitals affiliated to Iran, Shiraz University of Medical Sciences in 2019. Methods: This cross-sectional and descriptive-analytical study was conducted on a sample of 230 nurses working in the teaching hospitals of Iran, Shiraz University of Medical Sciences, who were selected using the stratified sampling proportional to size and simple random sampling methods. The data were collected using a valid and reliable questionnaire containing 20 questions in three dimensions of knowledge, attitude, and performance. Then, the collected data were analyzed using SPSS 25.0 through independent samples t-test, ANOVA and Tukey tests at the significance level of 5%. Results: The results showed that the highest and lowest mean scores were related to the attitude (2.38±0.19) and knowledge (1.70±0.50) of the nurses, respectively. However, all three dimensions were at a moderate level. The results showed significant relationships between the mean score of performance and the gender, marital status, age, and work experience of the nurses. In addition, statistically significant relationships were found between the mean score of knowledge and their age and work experience (p<0.05). Conclusion: According to the findings, the following suggestions can be made to increase the knowledge and performance of the nurses for being prepared in critical situations: reducing the duration and increasing the quality of training classes and workshops on disaster preparedness; providing some incentives for nurses, especially female, married, older, and more experienced ones to attend these classes; and improving the methods of training materials related to disaster management.

scholarly journals Job satisfaction and its related factors in health care providers and health workers in Esfarayen

2019 ◽  
Author(s):  
Ahmad Sadeghi ◽  
Hasan Jafari ◽  
Hossein Rouhani ◽  
Akram Zhianifard ◽  
Maryam Siavashi
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Organizations ◽  
Health Workers ◽  
Demographic Variables ◽  
Care Providers ◽  
Related Factors ◽  
Care Workers ◽  
The Mean

Introduction: Job Satisfaction in Health care organizations is one of the important pillars of health promotion, due to the role they play in the prevention, care and treatment. The aim of this study was to determine the job satisfaction and its related factors in health workers in Esfarayen. Methods: This descriptive-analytical study was carried out on 140 health care workers in Esfarayen in 2017. Data was collected using Herzberg job satisfaction questionnaire, and data were analyzed using ANOVA and t-test in SPSS21 software. Results: The mean age of participant was 37 ± 8.34. Most of them were female (70%) and married (85.5%). The average of job satisfaction was 61.45 ± 7.65 (out of 100). The highest job satisfaction score was work ability (73.54 ± 1.08) and the lowest score belonged to supervision ( 49.15 ± 5.73). Among the demographic variables, Job satisfaction was significantly associated with Employment Status (P<0.05). Conclusion: Despite employees have job satisfaction, factors that increase job satisfaction of employees should be considered by the relevant authorities. Establishing suitable job standards, fair and reasonable salary, and the creation of facilities in the workplace can lead to improved employee satisfaction and, consequently, improved service quality.

scholarly journals Perceived Discrimination and Reported Trust and Satisfaction in African Americans: The Jackson Heart Study

2017 ◽  
Vol 27 (3) ◽  
pp. 209 ◽  
Author(s):  
LáShauntá M. Glover ◽  
Mario Sims ◽  
Karen Winters
Keyword(s):  
African Americans ◽  
Health Care Providers ◽  
Perceived Discrimination ◽  
Discrimination Score ◽  
Care Providers ◽  
Jackson Heart Study ◽  
Cross Sectional ◽  
Heart Study ◽  
The Mean ◽  
Everyday Discrimination

<p class="Pa5"><strong>Objectives: </strong>1) To examine the association of multiple dimensions of discrimination with reported trust and satisfaction with providers; 2) to report within-group differences among African Americans (AAs). </p><p class="Pa5"><strong>Methods: </strong>Descriptive cross sectional study. The study population included AAs aged 35 to 84 years from the Jackson Heart Study (JHS) (N=5,301). Poisson regression (PR) was used to quantify the association between perceived discrimination and reported trust and satisfaction with providers before and after controlling for selected characteristics. </p><p class="Pa5"><strong>Main Measures: </strong>Measures of perceived discrimination included everyday, lifetime, burden from lifetime discrimination, and stress from discrimination. Outcomes included trust and satisfaction with providers. </p><p class="Pa5"><strong>Results: </strong>The mean everyday discrimination score was 2.11 (SD±1.02), and the mean lifetime discrimination score was 2.92 (SD±2.12). High (vs low) levels of everyday discrimination were associated with a 3% reduction in the prevalence of trust in providers (PR .97, 95% CI .96, .99) in all models. In fully-adjusted models, high (vs low) lifetime discrimination was associated with a 4% reduction in the prevalence of trust and satisfaction (PR .96, 95% CI .95, .98). Burden of discrimination was not associated with trust or satisfaction, but stress from discrimination was inversely associated with satisfaction. </p><p class="Pa5"><strong>Conclusions: </strong>The significant association between discrimination and mistrust and dissatisfaction suggests that health care providers should be made aware of AA perceptions of discrimination, which likely affects their levels of trust and satisfaction.</p><p class="Pa5"><em>Ethn Dis. </em>2017;27(3):209-216; doi:10.18865/ed.27.3.209 </p>

scholarly journals Impact of Health Insurance on Health Care Utilisation and Out-of-Pocket Health Expenditure in Vietnam

2020 ◽  
Vol 2020 ◽  
pp. 1-16
Author(s):  
Nguyen Thi Thu Thuong ◽  
Tran Quang Huy ◽  
Do Anh Tai ◽  
Tran Nhuan Kien
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Providers ◽  
Health Care Utilisation ◽  
Health Coverage ◽  
Care Providers ◽  
Care Utilisation ◽  
The Mean ◽  
Number Of Visits ◽  
Universal Health

Background. In recent years, health insurance (HI) has been chosen by many low- and middle-income countries to obtain an important health policy target—universal health coverage. Vietnam has recently introduced the Revised Health Insurance Law, and the effects of the voluntary health insurance (VHI) and heavily subsidised health insurance (HSHI) programmes have not yet been analysed. Therefore, this study is aimed at examining the impact of these HI programmes on the utilisation of health care services and out-of-pocket health expenditure (OOP) in general and across different health care providers in particular. Methods. Using the two waves of Vietnam Household Living Standard Surveys 2014 and 2016 and the difference-in-difference method, the impacts of VHI and HSHI on health care utilisation and OOP in Vietnam were estimated. Results. For both the VHI and HSHI groups, we found that HI increased the probability of seeking outpatient care, the mean number of outpatient visits, the total number of visits, and the mean number of visits at the district level of health care providers in the last 12 months. However, there was no evidence that the HSHI programmes increased the mean number of inpatient visits and the number of visits at the provincial hospital. We also found that while the VHI programme reduced OOP for both outpatient and inpatient care, the HSHI scheme did not result in a reduction in OOP for hospitalisation, although HI lowered the total OOP. Similarly, we found that for both groups, HI reduced OOP when the insured visited district and provincial hospitals. However, the statistically significant impact was not demonstrated when the enrolees of HSHI programmes visited provincial hospitals. Conclusion. The study offers evidence that the Vietnamese HI scheme increased health care service utilisation and decreased OOP for the participants of the VHI and HSHI programmes. Therefore, the government should continue to consider improving the HI system as a strategy to achieve universal health coverage.

What Is the Price and Claimed Efficacy of Platelet-Rich Plasma Injections for the Treatment of Knee Osteoarthritis in the United States?

2018 ◽  
Vol 32 (09) ◽  
pp. 879-885 ◽  
Author(s):  
Nicolas S. Piuzzi ◽  
Mitchell Ng ◽  
Ariel Kantor ◽  
Kenneth Ng ◽  
Stephanie Kha ◽  
...  
Keyword(s):  
United States ◽  
Standard Deviation ◽  
Knee Osteoarthritis ◽  
Clinical Efficacy ◽  
Health Care Providers ◽  
Platelet Rich Plasma ◽  
The United States ◽  
Care Providers ◽  
Knee Oa ◽  
The Mean

AbstractPlatelet-rich plasma (PRP) injections are often used for the treatment of knee osteoarthritis (OA), despite clinical value and cost-effectiveness not being definitely established. PRP injections are considered as a potential means of reducing pain and improving function in patients with knee OA, in the hope of delaying or avoiding the need for surgical intervention. Centers that offer PRP injections usually charge patients out of pocket and directly market services. Therefore, the purpose of this study was to quantify the current (1) prices and (2) marketed clinical efficacy of autologous PRP injections for knee OA. A prospective cross-sectional study was performed based on 286 centers identified in the United States offering PRP injections for knee OA. A total of 179 (73.4%) centers were successfully contacted via e-mail or phone, using a simulated 52-year-old male patient with knee OA. Scripted questions were asked by the simulated patient to determine the current marketed prices and clinical efficacy, either reported as “good results” or “symptomatic improvement,” claimed by each treating center. The mean price for a single unilateral knee same-day PRP injection was $714 with a standard deviation of $144 (95% confidence interval [CI]: $691–737, n = 153). The mean claim of clinical efficacy was 76% with a standard deviation of 11% (95% CI: 73.5–78.3%, n = 84). Out of the 84 clinics, 10 claimed “90 to 100% efficacy,” 27 claimed “80 to 90%,” 29 claimed “70 to 80%,” 9 claimed “60 to 70%,” 8 claimed “50 to 60%,” and 1 claimed “40 to 60%.” These findings provide a unique perspective on the PRP market for the treatment of knee OA that is valuable to physicians and health care providers in providing better education to patients on the associated costs and purported clinical benefits of PRP injections.

scholarly journals Hepatitis B virus genotype E infection among Egyptian health care workers

2017 ◽  
Vol 5 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Reem Elmaghloub ◽  
Ashraf Elbahrawy ◽  
Gamal El Didamony ◽  
Ahmed Elwassief ◽  
Abdel-Gawad Saied Mohammad ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Hbv Infection ◽  
Care Work ◽  
Care Providers ◽  
Health Care Work ◽  
Care Workers ◽  
The Mean

AbstractBackground and ObjectivesHealth Care Workers (HCWs) are at a high risk of needle stick injuries and HBV infection in Egypt; this problem is further aggravated by low Hepatitis B (HB) vaccination coverage. Limited data are available on the prevalence of HBV infection in Egyptian HCWs. In this study, we aimed to assess the HBV infection rate and genotypes among Egyptian HCWs.MethodsFive hundred and sixty-four (564) HCWs were included. Of them, 258 (45.74%) were health care providers and 306 (54.25%) were non-health care providers. All HCWs completed both the study questionnaires and provided a blood sample for HBV testing. Indeed, all HCWs were tested for Hepatitis B surface antigen (HBsAg) and antibody to Hepatitis B core antigen (anti-HBc), by enzyme-linked immunosorbent assay. HBVDNA was checked for HCWs who tested positive for HBsAg and/or anti-HBc, by nested Polymerase Chain Reaction (PCR). HBVDNA positive HCWs were further subjected to HBV genotyping.ResultsThe mean age of included HCWs was 33.0 ± 9.8 years, of whom 319 (56.56%) were males. The mean duration of health care work was 9.3 ± 6.7 years. The frequency of HBsAg and anti-HBc were 1.4%, and 24.5%, respectively. Old age and prolonged duration of health care work were significantly associated with anti-HBc seropositivity. Among 140 HCWs positive for HBsAg and/or anti-HBc, 14 (10 %) had positive HBVDNA by PCR. HBV/E (n= 7), HBV/D (n= 3) and co-infection with E and D (n= 4) genotypes were detected.ConclusionEgyptian HCWs have a significantly high rate of HBV exposure. The detection of HBV/E genotype among Egyptian HCWs suggests prevalent transmission of HBV/E among Egyptian populations.

scholarly journals Stress, Resilience and Moral Distress among Health Care Providers During COVID-19 Pandemic

Esculapio ◽  
2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Ahmed Latif ◽  
◽  
Sobia Yaqub ◽  
Qudsia Anwar Dar ◽  
Umer Sultan Awan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Moral Distress ◽  
High Stress ◽  
Care Providers ◽  
Online Questionnaire ◽  
Stress Resilience ◽  
Stress Scale ◽  
Distress Score ◽  
The Mean

Objective: This study aims to determine level of stress, resilience and moral distress among health care providers during covid-19 pandemic. Methods: This is a cross-sectional study performed using an online questionnaire. Data was collected from Health Care Providers, working in various tertiary care hospitals of Lahore, using an online questionnaire. Perceived stress scale (PSS), Connor-Davidson Resilience Scale (CD-RISC 10) and Moral Distress Thermometer were used to determine level of stress, resilience and moral stress respectively among the HCPs. Scores on the PSS can range from 0 to 40 with scores of 0-13, 14-26 and 27-40 being considered as low, moderate and high stress respectively. The Moral Distress Thermometer has scores ranging from 0-10 with value of ≥4 considered high. Data was analyzed using SPSS version.23.Descriptive variables were reported as means and frequencies. Intergroup analysis was done using Chi square test with p<0.05 taken as significant. Results: A total of 278 (n=278) HCPs participated in study. According to the PSS (Perceived Stress Scale) scores, 5.03% (14) reported low, 86.69% (241) moderate and 8.27% (23) high stress levels. The mean stress score is 21.56+/-4.32. Providing patient care (mean = 2.28+/-1.15 SD) and transmitting infection to others (mean = 3.02+/-1.10 SD) were deemed major causes of stress. The mean CD-RISC score was 23.14+/-7.81 SD. Only 10.8% (30) had a score of ≥ 32. The mean Moral Distress score was 4.2+/-2.98 SD, with 53.2% (149) participants reporting high Moral distress (score ≥4). Conclusion: The high level of stress among HCPs during COVID-19 pandemic highlights the need of urgent measures to overcome this psychological issue which if left un-addressed can affect performance of HCPs. Key Words: Stress, Resilience, HCPs How to cite: Latif A., Yaqub S., Dar A.Q., Awan S.U., Farhat Hina., Khokhar A.M., Stress, Resilience and Moral Distress among Health care Providers during COVID-19 pandemic. Esculapio 2021;17 (01):79-82

scholarly journals PERSEPSI PASIEN TERHADAP KOMPETENSI PROFESIONAL PERAWAT

2015 ◽  
Vol 1 (01) ◽  
Author(s):  
Meyda Agnes Wijaya ◽  
Gilny Aileen Joan Rantung
Keyword(s):  
Health Care Providers ◽  
Social Relations ◽  
Professional Competence ◽  
Modern Society ◽  
Professional Competencies ◽  
Care Providers ◽  
Purposive Sampling ◽  
The Mean ◽  
Score Result ◽  
Patient’S Perception

ABSTRAK Pendahuluan: Keberadaan perawat sebagai pemberi pelayanan kesehatan sangatlah penting, masyarakat modern saat ini menuntut profesionalisme perawat dalam pelaksanaan tugasnya. Tujuan penelitian ini adalah untuk menganalisa persepsi pasien terhadap kompetensi profesional perawat di Rumah Sakit Advent Bandung. Metode: Deskriptif dengan menggunakan kuesioner sebagai instrumen. Kuesioner berisi 22 jumlah butir pernyataan yang diadaptasi dari delapan kompetensi perawat menurut Lenburg et al. (2009). Populasi yang digunakan adalah pasien dewasa diruang rawat inap Rumah Sakit Advent Bandung dengan sampel berjumlah 57 pasien dipilih secara purposive sampling. Pengukuran dilakukan dengan menghitung mean skor.Hasil: Hasil penelitian menunjukkan bahwa Persepsi pasien terhadap kompetensi profesional perawat di Rumah Sakit Advent Bandung termasuk dalam interpretasi baik (Mean 3,94). Butir yang dipersepsikan paling dominan adalah butir pernyataan “perawat menghargai budaya/agama yang dimiliki pasien” yang termasuk kedalam keterampilan kepedulian sosial dan relasi sosial dengan mean 4,39. Butir yang dipersepsikan kurang dominan adalah butir pernyataan “Perawat memiliki pengetahuan diluar bidang ilmunya (ilmu alam,sosial,politik)” yang termasuk dalam keterampilan mengintegrasikan pengetahuan dengan mean 3,33. Diskusi: Kompetensi profesional perawat di Rumah Sakit Advent Bandung termasuk dalam kategori yang tinggi dengan interpretasi baik. Kata Kunci: Persepsi pasien, Kompetensi Profesional Perawat   ABSTRACT Introduction: The existence of nurses as health care providers is essential, nowadays modern society demands nurses professionalism in their duties performences. The purpose of this study was to analyze the patient's perception of the professional competence of nurses in Bandung Adventist Hospital. Method: Descriptive method using a questionnaire as an instrument. The questionnaire contains 22 statements that was adapted from the eight competencies of nurses according to Lenburg et al. (2009). The population used was hospitalized adult patients admitted in Bandung Adventist Hospital with a total of 57 patients selected by purposive sampling. Measurement was done by calculating the mean score. Result: The results showed that patient’s perception to the professional competencies of nurses in Bandung Adventist Hospital is in a good interpretations (Mean 3,94). Item that is perceived most dominant is a statement "nurses appreciate the culture/religion possessed patient" that was included in the social care skills and social relations with the mean of 4.39. Item that is perceived less dominant is a statement "Nurses have knowledge beyond the field of science (natural science, social, political)" which is included in integrate knowledge skill with mean of 3.33. Discussion: Professional competencies of nurses in Bandung Adventist Hospital was included in the high category with a good interpretation. Keywords: Patient’s perception, nurses professional competencies Full printable version: PDF

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