scholarly journals Client, provider, and visit factors associated with quality in contraceptive counseling in Mexico: an exploratory cross-sectional analysis

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Kay Walker ◽  
Ndola Prata ◽  
Maureen Lahiff ◽  
Ximena Quintero ◽  
Kelsey Holt
Keyword(s):  
Information Exchange ◽  
Post Partum ◽  
Random Effect ◽  
Mixed Effects ◽  
Disrespect And Abuse ◽  
Exchange Coefficient ◽  
High Quality ◽  
Cross Sectional ◽  
Contraceptive Counseling

Abstract Background Monitoring clients’ experiences with contraceptive care is vital to inform quality improvement efforts and ensure fulfillment of individuals’ human rights. The Quality of Contraceptive Counseling (QCC) Scale is a previously validated scale that comprehensively measures individuals’ experiences receiving counseling in three subscales: Information Exchange, Interpersonal Relationship, and Disrespect and Abuse. We sought to better understand the correlation of client, provider, and visit factors with client-reported quality of contraceptive counseling in the public sector in two Mexican states using the QCC Scale. Methods This cross-sectional survey study used the QCC Scale total score and subscale scores as outcome variables. Explanatory variables included clients’ age, LGBTTTIQ status, relationship status, number of children, education, and occupation; providers’ gender and type of provider; and the reason for visit. Linear and logistic regression models assessed bivariate associations. Multivariable, multilevel mixed-effects models with clinic as a random effect were fit. All models used complete cases (n = 470). Results In the multilevel mixed-effects analyses, patients aged 35+ years reported worse Information Exchange (coefficient − 0.29, p = 0.01). Clients receiving care post-partum reported worse Information Exchange (coefficient − 0.25, p = 0.02) and worse total scores (coefficient − 0.15, p = 0.04) compared to clients seeking contraceptive information or methods. Clients who had 1+ children reported better Information Exchange (coefficient 0.21, p = 0.01) than those with no children. Though Disrespect and Abuse subscale scores were overall high (indicating high quality of care), we found a significant association between age and report of such negative experiences: clients in increasing age categories had increasingly higher adjusted odds of reporting no disrespect and abuse (aORs compared to the youngest group were 2.50 for those aged 19–24 years, p = 0.04; 4.53 for those 25–34 years, p = 0.01; and 6.11 for those 35+ years, p = 0.01.) Conclusions Our findings align with previous results that younger clients have lower adjusted odds of reporting high-quality services in Mexico. There is a need for continued work supporting youth-friendly services in Mexico, and efforts should aim to ensure zero tolerance for disrespectful or coercive provider behaviors, such as pressuring or scolding clients. Improvements are also needed to ensure quality in counseling for post-partum clients, those aged 35+ years, and those without children.

scholarly journals Developing an evidence assessment framework and appraising the academic literature on migrant health in Malaysia: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e041379
Author(s):  
Allard Willem de Smalen ◽  
Zhie X Chan ◽  
Claudia Abreu Lopes ◽  
Michaella Vanore ◽  
Tharani Loganathan ◽  
...  
Keyword(s):  
Scoping Review ◽  
Multiple Correspondence Analysis ◽  
Population Data ◽  
Good Health ◽  
Migrant Health ◽  
High Quality ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Academic Literature

BackgroundA large number of international migrants in Malaysia face challenges in obtaining good health, the extent of which is still relatively unknown. This study aims to map the existing academic literature on migrant health in Malaysia and to provide an overview of the topical coverage, quality and level of evidence of these scientific studies.MethodsA scoping review was conducted using six databases, including Econlit, Embase, Global Health, Medline, PsycINFO and Social Policy and Practice. Studies were eligible for inclusion if they were conducted in Malaysia, peer-reviewed, focused on a health dimension according to the Bay Area Regional Health Inequities Initiative (BARHII) framework, and targeted the vulnerable international migrant population. Data were extracted by using the BARHII framework and a newly developed decision tree to identify the type of study design and corresponding level of evidence. Modified Joanna Briggs Institute checklists were used to assess study quality, and a multiple-correspondence analysis (MCA) was conducted to identify associations between different variables.Results67 publications met the selection criteria and were included in the study. The majority (n=41) of studies included foreign workers. Over two-thirds (n=46) focused on disease and injury, and a similar number (n=46) had descriptive designs. The average quality of the papers was low, yet quality differed significantly among them. The MCA showed that high-quality studies were mostly qualitative designs that included refugees and focused on living conditions, while prevalence and analytical cross-sectional studies were mostly of low quality.ConclusionThis study provides an overview of the scientific literature on migrant health in Malaysia published between 1965 and 2019. In general, the quality of these studies is low, and various health dimensions have not been thoroughly researched. Therefore, researchers should address these issues to improve the evidence base to support policy-makers with high-quality evidence for decision-making.

Physician Perceptions on Quality of Life and Resuscitation Preferences for Extremely Early Newborns

2021 ◽  
Author(s):  
Danielle LoRe ◽  
Christopher Mattson ◽  
Dalia M. Feltman ◽  
Jessica T. Fry ◽  
Kathleen G. Brennan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Logistic Regression ◽  
Regression Models ◽  
Mixed Effects ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Comfort Care ◽  
Logistic Regression Models ◽  
Extremely Preterm

Objective The study aimed to explore physician views on whether extremely early newborns will have an acceptable quality of life (QOL), and if these views are associated with physician resuscitation preferences. Study Design We performed a cross-sectional survey of neonatologists and maternal fetal medicine (MFM) attendings, fellows, and residents at four U.S. medical centers exploring physician views on future QOL of extremely early newborns and physician resuscitation preferences. Mixed-effects logistic regression models examined association of perceived QOL and resuscitation preferences when adjusting for specialty, level of training, gender, and experience with ex-premature infants. Results A total of 254 of 544 (47%) physicians were responded. A minority of physicians had interacted with surviving extremely early newborns when they were ≥3 years old (23% of physicians in pediatrics/neonatology and 6% in obstetrics/MFM). The majority of physicians did not believe an extremely early newborn would have an acceptable QOL at the earliest gestational ages (11% at 22 and 23% at 23 weeks). The majority of physicians (73%) believed that having an extremely preterm infant would have negative effects on the family's QOL. Mixed-effects logistic regression models (odds ratio [OR], 95% confidence interval [CI]) revealed that physicians who believed infants would have an acceptable QOL were less likely to offer comfort care only at 22 (OR: 0.19, 95% CI: 0.05–0.65, p < 0.01) and 23 weeks (OR: 0.24, 95% CI: 0.07–0.78, p < 0.02). They were also more likely to offer active treatment only at 24 weeks (OR: 9.66, 95% CI: 2.56–38.87, p < 0.01) and 25 weeks (OR: 19.51, 95% CI: 3.33–126.72, p < 0.01). Conclusion Physician views of extremely early newborns' future QOL correlated with self-reported resuscitation preferences. Residents and obstetric physicians reported more pessimistic views on QOL. Key Points

scholarly journals Gambaran Kebutuhan Orangtua Dengan Bayi Yang Sakit Kritis di RSUD Prof.dr. Margono Soekarjo Purwokerto

2019 ◽  
Vol 11 (02) ◽  
pp. 64-76
Author(s):  
ADIRATNA SEKAR SIWI
Keyword(s):  
Care Setting ◽  
Quality Care ◽  
Total Sample ◽  
Descriptive Study ◽  
Psychological Problem ◽  
Family Needs ◽  
High Quality ◽  
Cross Sectional ◽  
Consecutive Sampling

Patient’s parent is an essential part of holistically care treatment, especially when the patients are still too young to responsible for their own. Nurse have to understand regarding parents need to deliver high quality care for patients and their family. Parents’ needs during accompanying their children could be very specific and unique. The knowledge regarding this issue is crucial to increase the quality of care and prevent parents’ psychological problem. This is a descriptive study with cross sectional approach. Total sample in this study are respondent who are chosen by using consecutive sampling. The NICU Family Needs Inventory (NFNI) was used in this study. This study shows that the parents’ needs during accompanying their children in critical care setting are need for closeness with their children, Certainty regarding patient condition, comfort, information, and the needs of support.

scholarly journals Are health workers reduced to being drug dispensers of antiretroviral treatment? A randomized cross-sectional assessment of the quality of health care for HIV patients in northern Uganda

2019 ◽  
Vol 34 (8) ◽  
pp. 559-565
Author(s):  
Ulrike G Seeberger ◽  
Joseph J Valadez
Keyword(s):  
Physical Examination ◽  
Health Facility ◽  
Antiretroviral Treatment ◽  
Treatment Guidelines ◽  
Health Workers ◽  
Northern Uganda ◽  
High Quality ◽  
Cross Sectional ◽  
Sub Saharan

Abstract High quality of care (QoC) for antiretroviral treatment (ART) is essential to prevent treatment failure. Uganda, as many sub-Saharan African countries, increased access to ART by decentralizing provision to districts. However, little is known whether this rapid scale-up maintained high-quality clinical services. We assess the quality of ART in the Acholi and Lango sub-regions of northern Uganda to identify whether the technical quality of critical ART sub-system needs improvement. We conducted a randomized cross-sectional survey among health facilities (HF) in Acholi (n = 11) and Lango (n = 10). Applying lot quality assurance sampling principles with a rapid health facility assessment tool, we assessed ART services vis-à-vis national treatment guidelines using 37 indicators. We interviewed health workers (n = 21) using structured questionnaires, directly observed clinical consultations (n = 126) and assessed HF infrastructure, human resources, medical supplies and patient records in each health facility (n = 21). The district QoC performance standard was 80% of HF had to comply with each guideline. Neither sub-region complied with treatment guidelines. No HF displayed adequate: patient monitoring, physical examination, training, supervision and regular monitoring of patients’ immunology. The full range of first and second line antiretroviral (ARV) medication was not available in Acholi while Lango had sufficient stocks. Clinicians dispensed available ARVs without benefit of physical examination or immunological monitoring. Patients reported compliance with drug use (>80%). Patients’ knowledge of preventing HIV/AIDS transmission concentrated on condom use; otherwise it was poor. The poor ART QoC in northern Uganda raises major questions about ART quality although ARVs were dispensed. Poor clinical care renders patients’ reports of treatment compliance as insufficient evidence that it takes place. Further studies need to test patients’ immunological status and QoC in more regions of Uganda and elsewhere in sub-Saharan Africa to identify topical and geographical areas which are priorities for improving HIV care.

scholarly journals Quality of collaboration and information handovers in palliative care: a survey study on the perspectives of nurses in the Southwest Region of the Netherlands

2020 ◽  
Vol 30 (4) ◽  
pp. 720-727
Author(s):  
Marijanne Engel ◽  
Andrée van der Ark ◽  
Rosanne Tamerus ◽  
Agnes van der Heide
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Professionals ◽  
Information Exchange ◽  
Survey Study ◽  
Regional Survey ◽  
Cross Sectional ◽  
Organizational Collaboration ◽  
Deceased Patient

Abstract Background When patients receiving palliative care are transferred between care settings, adequate collaboration and information exchange between health care professionals is necessary to ensure continuity, efficiency and safety of care. Several studies identified deficits in communication and information exchange between care settings. Aim of this study was to get insight in the quality of collaboration and information exchange in palliative care from the perspectives of nurses. Methods We performed a cross-sectional regional survey study among nurses working in different care settings. Nurses were approached via professional networks and media. Respondents were asked questions about collaboration in palliative care in general and about their last deceased patient. Potential associations between quality scores for collaboration and information handovers and characteristics of respondents or patients were tested with Pearson’s chi-square test. Results A total of 933 nurses filled in the questionnaire. Nurses working in nursing homes were least positive about inter-organizational collaboration. Forty-six per cent of all nurses had actively searched for such collaboration in the last year. For their last deceased patient, 10% of all nurses had not received the information handover in time, 33% missed information they needed. An adequate information handover was positively associated with timeliness and completeness of the information and the patient being well-informed, not with procedural characteristics. Conclusion Nurses report that collaboration between care settings and information exchange in palliative care is suboptimal. This study suggests that health care organizations should give more attention to shared professionalization towards inter-organizational collaboration among nurses in order to facilitate high-quality palliative care.

scholarly journals Quality Of Life Patients With CAD After Percutaneous Coronary Intervention At Cardiac Center Rsup Dr. Hasan Sadikin Bandung

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Syifa Aulia ◽  
Aan Nuraeni ◽  
Hasniatisari Harun
Keyword(s):  
Quality Of Life ◽  
Percutaneous Coronary Intervention ◽  
Sampling Technique ◽  
Coronary Intervention ◽  
High Quality ◽  
Cross Sectional ◽  
Social And Emotional ◽  
Percutaneous Coronary ◽  
Cardiac Center

Quality of life of patients CAD after PCI needs to be seen as an evaluation of the interventions carried out, which need to be studied continuously by looking at health status, socioeconomic, and differences in the measurement tools used can be found differences from each item measured. This study aims to look at the quality of life of patients with CAD after PCI at the cardiac center of RSUP Dr. Hasan Sadikin Bandung. This study uses a quantitative descriptive method with a cross-sectional approach. The samples in this study were all patients CAD after PCI who were outpatient at RSHS Bandung. Samples were taken using purposive sampling technique and obtained 100 respondents. Data is collected using Macnew instruments by analyzing data using frequency distribution.The results showed that 95 respondents (95%) had a high quality of life. The quality of life results based on subvariables from highest to lowest are obtained as follows; emotional subvariable (94%) with a mean of 5.90, social subvariable (94%) with a mean of 5.84 and physical subvariable (93%) with a mean of 5.60.In conclusion, almost all respondents have a high quality of life which is reinforced by the results of high social and emotional aspects, but the physical aspects still need to be improved by providing adequate information regarding the patient's disease and the benefits of attending cardiac rehabilitation to improve the quality of life. In addition, physical, emotional and social management plays an important role in improving the quality of life of patients.Keywords: After Percutaneous Coronary Intervention, Coronary Heart Disease, Quality of Life

scholarly journals Hubungan Pengetahuan Ibu Post Partum tentang Manfaat Kolostrum dengan Pemberian Kolostrum pada Bayi Baru Lahir

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Kustini Kustini
Keyword(s):  
Post Partum ◽  
Cross Sectional ◽  
Initial Survey ◽  
Relationship Of ◽  
The Relationship

The knowledge of post partum mothers about the benefits of colostrum is very important. Colostrum is the best nutrition for babies because the composition of nutrients in it is optimally able to guarantee the growth of the baby's body. The quality of nutrients is also best because it is easily absorbed and digested by the baby's intestines. The results of the initial survey found that most post partum mothers did not give colostrum. The purpose of this study was to determine the relationship of knowledge of post partum mothers about the benefits of colostrum with the administration of colostrum in newborns at the Polindes of Karangwedoro Village, Turi District, Lamongan Regency in May-June 2018. This type of research is analytic with cross sectional approach. The number of population in this study is the population of post partum mothers as many as 30 post partum mothers

scholarly journals Quality of Comprehensive Midwifery Care as A Determinants of The Quality of Life of A Postpartum Mother

2020 ◽  
Vol 5 (2) ◽  
pp. 72-77
Author(s):  
Dewi Susilawati ◽  
Nur Fadjri Nilekesuma
Keyword(s):  
Quality Of Life ◽  
Post Partum ◽  
Sampling Technique ◽  
Poor Quality ◽  
Research Subjects ◽  
Chi Square ◽  
Cross Sectional ◽  
Midwifery Care ◽  
Postpartum Mothers

Background: One of the strategic efforts to reduce maternal mortality rate (MMR) is through the provision of comprehensive midwifery care. from pregnancy, childbirth to the puerperium. Indicators of success in midwifery care can be seen from the quality of life of postpartum mothers. Preliminary studies in Agam and Pasaman districts show that 50% of post-partum mothers have a poor quality of life. Methods: This analytic descriptive study with a cross-sectional design involved postpartum mother as the subject. The sample of the study was many postpartum mothers who received midwifery services at practicing independent midwives in Pasaman and Agam districts. Samples were taken using the accidental sampling technique within 1 month. A questionnaire for evaluating the quality of life of postpartum women is used as an instrument to measure the quality of life of postpartum mothers. Data were analyzed univariate and bivariate using the chi-square test Results: A total of 75.4% of the research subjects had a good quality of life. There is a relationship between service quality (p= 0.001) and maternal satisfaction (p= 0.001) with the quality of life for postpartum mothers. Conclusion: The better the quality of midwifery services and the level of satisfaction with services, the better the quality of life for postpartum mothers. Therefore, it is recommended that midwives maintain the quality of midwifery care starting from pregnancy, childbirth to childbirth on an ongoing basis (continuity of care).

scholarly journals Examining reliability of WHOBARS: a tool to measure the quality of administration of WHO surgical safety checklist using generalisability theory with surgical teams from three New Zealand hospitals

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e022625
Author(s):  
Oleg N Medvedev ◽  
Alan F Merry ◽  
Carmen Skilton ◽  
Derryn A Gargiulo ◽  
Simon J Mitchell ◽  
...  
Keyword(s):  
New Zealand ◽  
Measurement Errors ◽  
Rating Scale ◽  
Random Effect ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Surgical Teams ◽  
Generalisability Theory

ObjectivesTo extend reliability of WHO Behaviourally Anchored Rating Scale (WHOBARS) to measure the quality of WHO Surgical Safety Checklist administration using generalisability theory. In this context, extending reliability refers to establishing generalisability of the tool scores across populations of teams and raters by accounting for the relevant sources of measurement errors.DesignCross-sectional random effect measurement design assessing surgical teams by the five items on the three Checklist phases, and at three sites by two trained raters simultaneously.SettingThe data were collected in three tertiary hospitals in Auckland, New Zealand in 2016 and included 60 teams observed in 60 different cases with an equal number of teams (n=20) per site. All elective and acute cases (adults and children) involving surgery under general anaesthesia during normal working hours were eligible.ParticipantsThe study included 243 surgical staff members, 138 (50.12%) women.Main outcome measureAbsolute generalisability coefficient that accounts for variance due to items, phases, sites and raters for the WHOBARS measure of the quality of WHO Surgical Safety Checklist administration.ResultsThe WHOBARS in its present form has demonstrated good generalisability of scores across teams and raters (G absolute=0.83). The largest source of measurement error was the interaction between the surgical team and the rater, accounting for 16.7% (95% CI 16.4 to 16.9) of the total variance in the data. Removing any items from the WHOBARS led to a decrease in the overall reliability of the instrument.ConclusionsAssessing checklist administration quality is important for promoting improvement in its use, and WHOBARS offers a reliable approach for doing this.

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