Attitudes toward evidence-based practices, occupational stress and work-related social support among health care providers in China: A SEM analysis

Abstract Background More than a quarter of global neonatal deaths are reported from India, and a large proportion of these deaths are preventable. However, in the absence of robust public health care systems in several states in India, informal health care providers (IHCPs) with no formal medical education are the first contact service providers. The aim of this study was to assess the knowledge of IHCPs in basic evidence-based practices in neonatal care in Ujjain district and investigated factors associated with differences in levels of knowledge. Methods A cross-sectional survey was conducted using a questionnaire with multiple-choice questions covering the basic elements of neonatal care. The total score of the IHCPs was calculated. Multivariate quantile regression model was used to look for association of IHCPs knowledge score with: the practitioners’ age, years of experience, number of patients treated per day, and whether they attended children in their practice. Results Of the 945 IHCPs approached, 830 (88%) participated in the study. The mean ± SD score achieved was 22.3 ± 7.7, with a median score of 21 out of maximum score of 48. Although IHCPs could identify key tenets of enhancing survival chances of neonates, they scored low on the specifics of cord care, breastfeeding, vitamin K use to prevent neonatal hemorrhage, and identification and care of low-birth-weight babies. The practitioners particularly lacked knowledge about neonatal resuscitation, and only a small proportion reported following up on immunizations. Results of quantile regression analysis showed that more than 5 years of practice experience and treating more than 20 patients per day had a statistically significant positive association with the knowledge score at higher quantiles (q75th and q90th) only. IHCPs treating children had significantly better scores across quantiles accept at the highest quantile (90th). Conclusions The present study highlighted that know-do gap exists in evidence-based practices for all key areas of neonatal care tested among the IHCPs. The study provides the evidence that some IHCPs do possess knowledge in basic evidence-based practices in neonatal care, which could be built upon by future educational interventions. Targeting IHCPs can be an innovative way to reach a large rural population in the study setting and to improve neonatal care services.

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Individual attitudes toward innovation, occupational stress and social support for work among HIV health care providers in Southwest China

Implementation Science ◽

10.1186/1748-5908-10-s1-a24 ◽

2015 ◽

Vol 10 (S1) ◽

Author(s):

Shan Qiao ◽

Xiaoming Li ◽

Bonita Stanton ◽

Yuejiao Zhou ◽

Zhiyong Shen ◽

...

Keyword(s):

Social Support ◽

Health Care ◽

Occupational Stress ◽

Health Care Providers ◽

Southwest China ◽

Care Providers

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Identifying the know-do gap in evidence-based neonatal care practices among informal health care providers—A cross-sectional study from Ujjain, India

10.21203/rs.3.rs-27837/v2 ◽

2020 ◽

Author(s):

Isaac Gikandi Mungai ◽

Sumit Singh Baghel ◽

Suchi Soni ◽

Shailja Vagela ◽

Megha Sharma ◽

...

Keyword(s):

Health Care ◽

Quantile Regression ◽

Health Care Providers ◽

Knowledge Score ◽

Neonatal Care ◽

Evidence Based ◽

Care Providers ◽

Cross Sectional ◽

Evidence Based Practices ◽

Multivariate Quantile

Abstract Background: More than a quarter of global neonatal deaths are reported from India, and a large proportion of these deaths are preventable. However, in the absence of robust public health care systems, informal health care providers (IHCPs) with no formal medical education are the first contact service providers. The aim of this study was to assess the knowledge of IHCPs in basic evidence-based practices in neonatal care in Ujjain district and investigated factors associated with differences in levels of knowledge. Methods: A cross-sectional survey was conducted using a questionnaire with multiple-choice questions covering the basic elements of neonatal care. The total score of the IHCPs was calculated. Multivariate quantile regression model was used to study association of IHCPs knowledge score with: the practitioners’ age, years of experience, number of patients treated per day, and whether they attended children in their practice. Results: Of the 945 IHCPs approached, 830 (88%) participated in the study. The mean±SD score achieved was 22.3±7.7, with a median score of 21 out of maximum score of 48. Although IHCPs could identify key tenets of enhancing survival chances of neonates, they scored low on the cord care, breastfeeding, vitamin K use to prevent neonatal hemorrhage, and care of low-birth-weight babies. The practitioners particularly lacked knowledge about neonatal resuscitation, and only a small proportion reported following up on immunizations. Results of quantile regression analysis showed that more than 5 years of practice experience and treating more than 20 patients per day had a statistically significant positive association with the knowledge score at higher quantiles (q75 th and q90 th ) only. IHCPs treating children had significantly better scores across quantiles accept at the highest quantile (90 th ). Conclusions: The present study highlighted that know-do gap exists in evidence-based practices for all key areas of neonatal care tested among the IHCPs. The study provides the evidence that some IHCPs do possess knowledge in basic evidence-based practices in neonatal care, which could be built upon in future educational interventions. Targeting IHCPs can be an innovative way to reach a large rural population and to improve neonatal care services.

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Identifying the know-do gap in evidence-based neonatal care practices among informal health care providers—A cross-sectional study from Ujjain, India

10.21203/rs.3.rs-27837/v1 ◽

2020 ◽

Author(s):

Isaac Gikandi Mungai ◽

Sumit Singh Baghel ◽

Suchi Soni ◽

Shailja Vagela ◽

Megha Sharma ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Service Providers ◽

Neonatal Resuscitation ◽

Neonatal Care ◽

Evidence Based ◽

Care Providers ◽

Cross Sectional ◽

Evidence Based Practices ◽

Number Of Patients

Abstract Background More than a quarter of global neonatal deaths are reported from India, and a large proportion of these deaths are preventable. However, in the absence of robust public health care systems in several states in India, informal health care providers (IHCPs) with no formal medical education are the first contact service providers. The aim of this study was to assess the knowledge of IHCPs in basic evidence-based practices in neonatal care in Ujjain district and investigated factors associated with differences in levels of knowledge. Methods A cross-sectional survey was conducted using a questionnaire with multiple-choice questions covering the basic elements of neonatal care. The collective score per question among the respondents was calculated. The score achieved by each respondent was calculated, grouped into either “fair” or “low”, and then checked for association with the practitioners’ age and years of experience, number of patients examined per day, and whether they attended children in their practice. Results Of the 945 IHCPs approached, 830 (88%) participated in the study. Of the potential 39,840 points, only an average of 18,483 (46%) were achieved, indicating a knowledge gap. Although these providers could identify key tenets of enhancing survival chances of neonates, they scored low on the specifics of cord care, breastfeeding, vitamin K use to prevent neonatal hemorrhage, and identification and care of low-birth-weight babies. The practitioners particularly lacked knowledge about neonatal resuscitation, and only a small proportion reported following up on immunizations in children they attended. Fair knowledge of IHCPs was significantly associated with attending more than 10 but less than 50 patients per day and of being aged between 35 and 45 years. Offering pediatric consultations was not significantly associated with achieving a fair score. Conclusions The present study highlighted that know-do gap exists in evidence-based practices for all key areas of neonatal care tested among the IHCPs. The study provides the evidence that educational interventions targeting IHCPs can improve neonatal care services and is an innovative way to reach a large rural population in the study setting.

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Brazilian women’s use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study

PLoS ONE ◽

10.1371/journal.pone.0248740 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0248740

Author(s):

Luísa da Matta Machado Fernandes ◽

Sônia Lansky ◽

Hozana Reis Passos ◽

Christine T. Bozlak ◽

Benjamin A. Shaw

Keyword(s):

Health Care ◽

Health Education ◽

Health Care Providers ◽

Bivariate Analysis ◽

Evidence Based ◽

Care Providers ◽

Evidence Based Practices ◽

Birth Plan ◽

Individualized Care ◽

The Senses

Brazil has a cesarean rate of 56% and low use of Intrapartum Evidence-based Practices (IEBP) of 3.4%, reflecting a medically centered and highly interventionist maternal health care model. The Senses of Birth (SoB) is a health education intervention created to promote normal birth, use of EBP, and reduce unnecessary c-sections. This study aimed to understand the use of intrapartum EBP by Brazilian women who participated in the SoB intervention. 555 women answered the questionnaire between 2015 and 2016. Bivariate analysis and ANOVA test were used to identify if social-demographic factors, childbirth information, and perceived knowledge were associated with the use of EBP. A qualitative analysis was performed to explore women’s experiences. Research participants used the following EBP: birth plan (55.2%), companionship during childbirth (81.6%), midwife care (54.2%), freedom of mobility during labor (57.7%), choice of position during delivery (57.2%), and non-pharmacological pain relief methods (74.2%). Doula support was low (26.9%). Being a black woman was associated with not using a birth plan or having doula support. Women who gave birth in private hospitals were more likely not to use the EBP. Barriers to the use of EBP identified by women were an absence of individualized care, non-respect for their choices or provision of EBP by health care providers, inadequate structure and ambiance in hospitals to use EBP, and rigid protocols not centered on women’s needs. The SoB intervention was identified as a potential facilitator. Women who used EBP described a sense of control over their bodies and perceived self-efficacy to advocate for their chosen practices. Women saw the strategies to overcome barriers as a path to become their childbirth protagonist. Health education is essential to increase the use of EBP; however, it should be implemented combined with changes in the maternal care system, promoting woman-centered and evidence-based models.

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Identifying the know-do gap in evidence-based neonatal care practices among informal health care providers—A cross-sectional study from Ujjain, India

10.21203/rs.3.rs-27837/v3 ◽

2020 ◽

Author(s):

Isaac Gikandi Mungai ◽

Sumit Singh Baghel ◽

Suchi Soni ◽

Shailja Vagela ◽

Megha Sharma ◽

...

Keyword(s):

Health Care ◽

Quantile Regression ◽

Health Care Providers ◽

Knowledge Score ◽

Neonatal Care ◽

Evidence Based ◽

Care Providers ◽

Cross Sectional ◽

Evidence Based Practices ◽

Multivariate Quantile

Abstract Background: More than a quarter of global neonatal deaths are reported from India, and a large proportion of these deaths are preventable. However, in the absence of robust public health care systems in several states in India, informal health care providers (IHCPs) with no formal medical education are the first contact service providers. The aim of this study was to assess the knowledge of IHCPs in basic evidence-based practices in neonatal care in Ujjain district and investigated factors associated with differences in levels of knowledge.Methods: A cross-sectional survey was conducted using a questionnaire with multiple-choice questions covering the basic elements of neonatal care. The total score of the IHCPs was calculated. Multivariate quantile regression model was used to look for association of IHCPs knowledge score with: the practitioners’ age, years of experience, number of patients treated per day, and whether they attended children in their practice.Results: Of the 945 IHCPs approached, 830 (88%) participated in the study. The mean±SD score achieved was 22.3±7.7, with a median score of 21 out of maximum score of 48. Although IHCPs could identify key tenets of enhancing survival chances of neonates, they scored low on the specifics of cord care, breastfeeding, vitamin K use to prevent neonatal hemorrhage, and identification and care of low-birth-weight babies. The practitioners particularly lacked knowledge about neonatal resuscitation, and only a small proportion reported following up on immunizations. Results of quantile regression analysis showed that more than 5 years of practice experience and treating more than 20 patients per day had a statistically significant positive association with the knowledge score at higher quantiles (q75th and q90th) only. IHCPs treating children had significantly better scores across quantiles accept at the highest quantile (90th). Conclusions: The present study highlighted that know-do gap exists in evidence-based practices for all key areas of neonatal care tested among the IHCPs. The study provides the evidence that some IHCPs do possess knowledge in basic evidence-based practices in neonatal care, which could be built upon by future educational interventions. Targeting IHCPs can be an innovative way to reach a large rural population in the study setting and to improve neonatal care services.

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A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

Frontiers in Public Health ◽

10.3389/fpubh.2021.762784 ◽

2021 ◽

Vol 9 ◽

Author(s):

Alicia K. Matthews ◽

Karriem S. Watson ◽

Cherdsak Duang ◽

Alana Steffen ◽

Robert Winn

Keyword(s):

Health Care ◽

Smoking Cessation ◽

Health Care Providers ◽

Low Income ◽

Access To Health Care ◽

Social Determinant ◽

Evidence Based ◽

Patient Portal ◽

Care Providers ◽

Access To Health

Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUITCommunity-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline.Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE.Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a critical social determinant of cancer and other tobacco-related morbidities.Trial Registration: U.S. National Institutes of Health Clinical Trials, NCT04827420, https://clinicaltrials.gov/ct2/show/NCT04827420.

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Model of Customer Value Approach for Improving Satisfaction of the Hospital PatientsModel of Customer Value Approach for Improving Satisfaction of the Hospital Patients

Sinergi Jurnal Ilmiah Ilmu Manajemen ◽

10.25139/sng.v7i2.365 ◽

2017 ◽

Vol 7 (2) ◽

Author(s):

Arasy Alimudin

Keyword(s):

Health Care ◽

Service Quality ◽

Direct Effect ◽

Health Care Providers ◽

Indirect Effect ◽

Customer Value ◽

Sem Analysis ◽

Care Providers ◽

Analysis Technique ◽

Hospital Patients

Health service is highly demanded by public therefore it need to be balanced with the development of health care providers. The development of health care provider plays important role in determining service satisfaction. Hospitals which are unable to provide excellent quality service will loss customer value trust which lead to customer dissatisfaction.The present study aims to examineimpact of service quality and confidence in the value of patientinrelated to patient satisfaction. The present study utilizes 100 patients of inpatient hospital clinic in Surabaya as respondents in which the daya is analyzed by using SEM analysis technique. The result shows that direct effect of service quality on satisfaction is smaller than the indirect effect of service quality on customer satisfaction through value. Furthermore, direct effect of trust on satisfaction is smaller than indirect effect of trust on satisfaction through customer value.

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