scholarly journals Barriers and facilitators to patient-centred care in pharmacy consultations: A qualitative study with Malaysian hospital pharmacists and patients

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258249
Author(s):  
Yew Keong Ng ◽  
Noraida Mohamed Shah ◽  
Ly Sia Loong ◽  
Lay Ting Pee ◽  
Wei Wen Chong
Keyword(s):  
Continuity Of Care ◽  
Interprofessional Collaboration ◽  
Structured Interview ◽  
Barriers And Facilitators ◽  
Communication Styles ◽  
Comparative Approach ◽  
Related Factors ◽  
Hospital Pharmacists ◽  
Patient Centred Care ◽  
Potential Factors

Background Patient-centred care (PCC) has been suggested to provide benefits such as improved patient-healthcare provider communication and better disease self-management to patients. The practice of PCC should involve all healthcare professionals, including pharmacists who are well-positioned in providing pharmaceutical care to patients. However, a better understanding of the factors that can affect the practice of PCC in pharmacists’ consultations is needed. Objective To explore the perceptions of Malaysian hospital pharmacists and patients on the barriers and facilitators of a PCC approach in pharmacist consultations. Design This study employed a qualitative, explorative semi-structured interview design. Setting and participants Interviews were conducted with 17 patients and 18 pharmacists from three tertiary hospitals in Malaysia. The interviews were audiotaped and transcribed verbatim. Emerging themes were developed through a constant comparative approach and thematic analysis. Results Three themes were identified in this study: (i) patient-related factors (knowledge, role expectations, and sociocultural characteristics), (ii) pharmacist-related factors (personalities and communication), and (iii) healthcare institutional and system-related factors (resources, continuity of care, and interprofessional collaboration). Pharmacists and patients mentioned that factors such as patients’ knowledge and attitudes and pharmacists’ personality traits and communication styles can affect patients’ engagement in the consultation. Long waiting time and insufficient manpower were perceived as barriers to the practice of PCC. Continuity of care and interprofessional collaboration were viewed as crucial in providing supportive and tailored care to patients. Conclusion The study findings outlined the potential factors of PCC that may influence its implementation in pharmacist consultations. Strategic approaches can be undertaken by policymakers, healthcare institutions, and pharmacists themselves to address the identified barriers to more fully support the implementation of PCC in the pharmacy setting.

Application of the Non-adoption, Abandonment, Scale-up, Spread and, Sustainability (NASSS) Framework to evaluate the role of technology in the Pathways to Comorbidity Care (PCC) implementation project to improve management of comorbid substance use and mental disorders

2020 ◽  
Author(s):  
MariaGabriela Uribe Guajardo ◽  
Andrew James Baillie ◽  
Eva Louie ◽  
Vicki Giannopoulos ◽  
Katie Wood ◽  
...  
Keyword(s):  
Substance Use ◽  
Clinical Supervision ◽  
Mental Health Problems ◽  
Scale Up ◽  
Structured Interview ◽  
Barriers And Facilitators ◽  
Self Report ◽  
Evidence Based ◽  
Face To Face ◽  
Drug And Alcohol

Abstract (250 words)In substance use treatment settings, there is a high prevalence of comorbid mental health problems. Yet an integrated approach for managing comorbidity, implementation of evidence-based intervention in drug and alcohol settings remains problematic. Technology can help the adoption of evidence-based practice and successfully implement effective treatment health care pathways. This study sought to examine aspects of electronic resources utilisation (barriers and facilitators) by clinicians participating in the PCC training. MethodA self-report questionnaire and a semi-structured interview was designed to measure overall satisfaction with the PCC portal and e-resources available throughout the 9-month intervention for participating clinicians. An adapted version of the ‘Non-adoption, Abandonment, Scale-up, Spread and, Sustainability’ (NASSS) framework was used to facilitate discussion in regards to the study findings. ResultsA total of 20 clinicians from drug and alcohol services responded to all the measures. Facilitators of portal use included: i. clinician acceptance of the PCC portal; ii. guidance from the clinical supervisor or clinical champion that encouraged the use of e-resources. Some of the barriers included: i. complexity of the illness (condition), ii. clinicians’ preference (adopter system) for face-to-face resources and training modes (e.g. clinical supervision, clinical champion workshops), and iii. lack of face-to-face training on how to use the portal (technology and organisation).ConclusionBased on the NASSS framework, we were able to identify several barriers and facilitators including such as the complexity of the illness, lack of face-to-face training and clinician preference for training mediums. Recommendations include ongoing consultation of clinicians to assist in the development of tailored e-health resources and offering in-house training on how to operate and effectively utilise these resources.

scholarly journals A75 IMPLEMENTING A CIRRHOSIS ORDER SET: A QUALITATIVE ANALYSIS OF PROVIDER-IDENTIFIED BARRIERS AND FACILITATORS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 41-42
Author(s):  
E Johnson ◽  
M Carbonneau ◽  
D Campbell-Scherer ◽  
P Tandon ◽  
A Hyde
Keyword(s):  
Focus Groups ◽  
Gastrointestinal Disease ◽  
Pragmatic Trial ◽  
Healthcare Providers ◽  
Structured Interview ◽  
Barriers And Facilitators ◽  
Care Utilization ◽  
Implementation Barriers ◽  
Mortality And Morbidity ◽  
Order Set

Abstract Background Cirrhosis is the leading cause of mortality and morbidity in individuals with gastrointestinal disease. Multiple care gaps exist for hospitalized patients with cirrhosis, resulting in high rates of re-hospitalization (e.g. 44% at 90 days in Alberta). The Cirrhosis Care Alberta (CCAB) is a 4-year multi-component pragmatic trial with an aim to reduce acute-care utilization by implementing an electronic order set and supporting education across eight hospital sites in Alberta. Aims As part of the pre-implementation evaluation, this qualitative study analyzed data from provider focus groups to identify barriers and facilitators to implementation. Methods We conducted focus groups at eight hospital sites with a total of 54 healthcare providers (3–12 per site). A semi-structured interview guide based upon constructs of the Consolidated Framework for Implementation Research (CFIR) and Normalization Process Theory (NPT) frameworks was used to guide the focus groups. Focus groups were recorded and transcribed verbatim. Data was analyzed thematically and inductively. Results Five major themes emerged across all eight sites: (i) understanding past implementation experiences, (ii) resource challenges, (iii) competing priorities among healthcare providers, (iv) system challenges, and (v) urban versus rural differences. Site-specific barriers included perceived lack of patient flow, time restraints, and concerns about the quality and quantity of past implementation interventions. Facilitators included passionate project champions, and an ample feedback process. Conclusions Focus groups were useful for identifying pre-implementation barriers and facilitators of an electronic orders set. Findings from this study are being refined to address the influence of COVID-19, and the data will be used to inform the intervention roll-out at each of the sites. Funding Agencies Alberta Innovates

scholarly journals Patient satisfaction with mental health services based on Andersen’s Behavioral Model

2017 ◽  
Vol 63 (2) ◽  
pp. 103-114 ◽  
Author(s):  
Marilyn Fortin ◽  
Jean-Marie Bamvita ◽  
Marie-Josée Fleury
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Mental Health Services ◽  
Health Services ◽  
Continuity Of Care ◽  
Multiple Linear Regression Model ◽  
Behavioral Model ◽  
Related Factors ◽  
Negatively Associated ◽  
Andersen’S Behavioral Model

Objective: The purpose of this article was to assess the satisfaction of adult patients who received mental health services (MHS) in healthcare networks staffed by multidisciplinary professionals and offering a range of MHS, and to identify variables associated with patient satisfaction. Methods: This cross-sectional study included 325 patients with mental disorders (MDs) among 4 Quebec health service networks. Data were collected using 9 standardized instruments and participant medical records. A 3-factor conceptual framework (predisposing, enabling, and needs-related factors) based on Andersen’s Behavioral Model was used, integrating sociodemographic, clinical, needs-related, service utilization, social support, and quality-of-life (QOL) variables. An adjusted multiple linear regression model was performed. Results: The global mean score for patient satisfaction was 4.11 (minimum: 2.0; maximum: 5.0). Among the enabling factors, continuity of care, having a case manager, and help received from services were positively associated with patient satisfaction, whereas being hospitalized was negatively associated. Among the needs-related factors, the number of needs was negatively associated with satisfaction. Conclusions: Findings demonstrated higher levels of satisfaction among patients who received good continuity of care and well-managed, frequent services in relation to their needs. Dissatisfaction was higher for patients with serious unmet needs or those hospitalized, which underlines the importance of taking these particular variables into account in the interest of improving MHS delivery and patient recovery.

scholarly journals COLLABORATION-BASED SUPPORT PROVISION MODELS FOR CHILDREN WITH SPECIAL EDUCATIONAL NEEDS

2020 ◽  
Vol 4 ◽  
pp. 30
Author(s):  
Rita Kantanavičiūtė ◽  
Laima Tomėnienė
Keyword(s):  
Special Educators ◽  
Interprofessional Collaboration ◽  
Structured Interview ◽  
Educational Needs ◽  
School Age Children ◽  
School Age ◽  
Special Educational Needs ◽  
Support Provision ◽  
Her Family ◽  
Speech Therapists

The article aims to reveal collaboration-based support provision models for a child with special educational needs and his/her family in Lithuania. The qualitative research method used was a semi-structured interview. The participants of the research were special educators and speech therapists providing support to school-age children with special educational needs. The obtained results of the research helped to reveal children support specialists’ attitude towards collaboration-based support provision to a child with special educational needs and his/her family in Lithuania. The research revealed the importance and opportunities of the implementation of interprofessional coordinated support based on interprofessional collaboration, referring to the experience of speech therapists and special educators providing support to a school-age child with special educational needs and his/her family. 

scholarly journals Factors That Account For Low Enrollment In Community-Based Senior High Schools In The Ashanti Region Of Ghana

2019 ◽  
Vol 7 (03) ◽  
Author(s):  
Denteh Raphael ◽  
Samuel Dontoh ◽  
Augustine Adjei ◽  
Francis Kyei Badu
Keyword(s):  
High Schools ◽  
Structured Interview ◽  
Study Data ◽  
Individual Characteristics ◽  
Community Based ◽  
Related Factors ◽  
Ashanti Region ◽  
Interview Guide ◽  
Science Laboratories ◽  
Quota Sampling

The study was to explore the factors that account for low enrolments in senior high schools in the Ashanti Region of Ghana. The purpose of the study was to investigate the factors that account for low enrolments in the community-based senior high school in the Ashanti Region of Ghana. The purpose of the study was to investigate socio-economic factors, school related factors, geographical factors and individual characteristics that influence enrolments, participation, retention, attendance, progression and dropout in community-based senior high schools in Ashanti Region of Ghana. The purposive and quota sampling were used to select a sample size of 120 respondent make up of 10 heads, 10 Districts Directors of Education, 10 PTA chairmen and 90 parents of sampled schools. The instruments used to collect data from the respondents were the questionnaire for heads, structured interview guide for parents. PTA Chairmen and the District Directors of GES and observation guide on school building and furniture. The reliability co-efficient of the study was 0.82. The co-efficient is high enough and hence the items were deemed reliable for the study. Data were analysed by the use of frequencies, percentages and apparent cohort method. The finding of the study indicated that most of the sampled senior high schools do not have school bus to convey day students to and from schools. The sample senior high schools do not have workshops for all programmes, classrooms and standard science laboratories and science equipment to enhance academic work.

scholarly journals Trait Mindfulness May Buffer Against the Deleterious Effects of Childhood Abuse in Recurrent Depression: A Retrospective Exploratory Study

2018 ◽  
Author(s):  
Shadi Beshai
Keyword(s):  
Early Childhood ◽  
Childhood Abuse ◽  
Childhood Maltreatment ◽  
Prospective Trial ◽  
Structured Interview ◽  
Trait Mindfulness ◽  
Recurrent Depression ◽  
Related Factors ◽  
History Of Childhood ◽  
History Of

Objective: Individuals with a history of childhood maltreatment are particularly vulnerable to a longer course of depression. Immunization theories of resilience suggest that resilience and related factors may buffer against the deleterious effects of early childhood adversity. Trait mindfulness is linked to resilience and may be a pathway to cultivating this dynamic process. In this study, we investigated whether trait mindfulness can buffer against the effects of early childhood maltreatment in predicting lifetime number of months depressed. Method: We recruited 43 previously depressed, currently remitted patients, and retrospectively examined their depression history (using a structured interview, LIFE-SCID), their self-reported experience of maltreatment in the first 16 years of life (MOPS), and their levels of trait mindfulness (MAAS). Results: We found that number of months depressed in a lifetime was positively associated with reported childhood maltreatment, and negatively associated with trait mindfulness. Secondly, we found evidence that trait mindfulness significantly moderated the relationship of early childhood maltreatment and number of months depressed. Specifically, it appears that individuals who report severe histories of maltreatment are especially vulnerable to recurrent depression if they are also reporting low levels of trait mindfulness. Conclusions: Increasing mindfulness may be warranted among individuals reporting a history of childhood abuse with lower baselines of trait mindfulness; however, results of this retrospective study require replication in a larger, prospective trial.

scholarly journals Desnutrição infantil: experiência em uma comunidade rural

2011 ◽  
Vol 2 (3) ◽  
pp. 171-174
Author(s):  
Mirna Albuquerque Frota ◽  
Luciana Vilas Boas Polte ◽  
Ana Tereza Sá Nogueira ◽  
Ivna Silva Andrade
Keyword(s):  
Child Nutrition ◽  
Rural Families ◽  
Family Health ◽  
Structured Interview ◽  
Child Malnutrition ◽  
Related Factors ◽  
Malnourished Children ◽  
Nutrition Disorders ◽  
Cultural Care ◽  
The Subject

Objetivou-se retratar a desnutrição em menores de 6 anos nas famílias rurais, assim como investigar fatores relacionados. Estudo exploratório descritivo com abordagem qualitativa, realizado na comunidade do Sussuí, localizada em Quixadá, CE, com quatro famílias de crianças desnutridas, utilizando a observação nas visitas domiciliares e entrevista semiestruturada. Realizou-se análise de conteúdo, resultando nas categorias: Conhecendo a Desnutrição Infantil, Prejuízos da Doença na Família e Cuidado Cultural. Concluiu-se que a desnutrição infantil é assunto abordado de forma frequente, mas com pouca resolutividade, observando-se índices elevados da doença devido à ausência de funcionalidade das políticas públicas, capazes de promover a saúde dos indivíduos.Descritores: Transtornos da Nutrição Infantil, Família, Promoção da Saúde.Child malnutrition: experience in a rural communityThe aim of this work was to portray the malnutrition among children that are less than six years old in rural families as well as to investigate related factors. That is a descriptive exploratory study with a qualitative approach, carried out in the community Sussuí, located in Quixadá, CE with four families and their malnourished children, using the observation in the home visits and semi-structured interview. We conducted content analysis, resulting the following categories: Knowing the Child Malnutrition, Disease Losses in Family and Cultural Care. It was concluded that the subject matter child malnutrition is often approached but there is no resolution, observing high rates of disease due to lack of functionality of public policies that promote the health of individuals.Descriptors: Child Nutrition Disorders, Family, Health Promotion.La desnutrición infantil: experiencia en una comunidad ruralEl objetivo era retratar la desnutrición en niños menores de seis años en los hogares rurales, así como investigar los factores relacionados. Estudio exploratorio descriptivo con enfoque cualitativo, realizado en La comunidad Sussuí, ubicada en Quixadá, CE con cuatro famílias con niños desnutridos, con la observación en las visitas domiciliarias y entrevistas semi-estructuradas. Se realizó un análisis de contenido, lo que resulta en las categorías: Conocer la desnutrición infantil, las pérdidas por enfermedades en la familia y Cuidado Cultural. Se concluyó que la desnutrición infantil es asunto frecuente, pero no hay solución para el problema observándose las altas tasas de enfermedad debido a la falta de funcionalidad de las políticas públicas que promuevan la salud de los individuos.Descriptores: Trastornos de Nutrición Infantil, Familia, Promoción de la Salud.

scholarly journals Pentingnya Meningkatkan Interprofessional Collaboration Terhadap Keselamatan Pasien

2019 ◽  
Author(s):  
Wentri Siska Veronika Hutagalung
Keyword(s):  
Literature Review ◽  
Interprofessional Collaboration ◽  
Patient Centred Care

Latar belakang: Kemampuan untuk bekerja dengan profesional dari disiplin lain untuk memberikan kolaboratif, patient centred care dianggap sebagai elemen penting dari praktek profesional yang membutuhkan spesifik perangkat kompetensi. Tujuan: Mengetahui bagaimana interprofesional berdampak terhadap keselamatan pasien. Metode: Metode kajian ini menggunakan penelusuran buku teks, buku reffeerensi, jurnal dan e.book (10 tahun terahir) dengan system literature review yaitu dengan menganalisis mengeksplorasi, dan kajian bebas dengan menggunakan kata kunci. Hasil: Sebagian besar partnership responden di RSK adalah dalam kategori baik (55,6%), sebagian besar cooperation responden di RSK dalam kategori kurang baik (50,8%), sebagian besar coordination responden di RSJ dalam kategori baik (53,0%) dan sebagian. Pembahasan: Tim pelayanan kesehatan yang efektif yang bekerja sama secara sinergis, terstruktur, dan sistematis sesuai peran dan fungsinya masing-masing, sehingga mampu memberikan pelayanan kesehatan yang optimal dan meminimalisir kejadian yang akan menimbulkan kerugian dan bahaya, bahkan dapat mengancam jiwa pasien. Kesimpulan: Interprofesional collaboration dapat di laksanakan dengan baik dengan komunikasi yang baik dan efektif.

scholarly journals Oncology Association of Naturopathic Physicians: Principles of Care Guidelines

2019 ◽  
Vol 26 (1) ◽  
Author(s):  
E. Marsden ◽  
G. Nigh ◽  
S. Birdsall ◽  
H. Wright ◽  
M. Traub
Keyword(s):  
Best Practice ◽  
Interprofessional Collaboration ◽  
Standard Of Care ◽  
Primary Care Providers ◽  
Care Providers ◽  
Integrative Oncology ◽  
Patient Centred Care ◽  
Best Practice Guidelines ◽  
Oncology Care ◽  
Integrative Therapies

Patient use of integrative oncology (the inclusion of nonconventional treatments alongside the conventional standard of care) continues to grow, with some studies showing its use in cancer patients to be as high as 91%. Naturopathic physicians are primary care providers who use integrative therapies to deliver patient-centred care. The Oncology Association of Naturopathic Physicians (oncanp) was formed in 2004 as a specialty association for naturopathic physicians providing integrative cancer care (nd oncs). Currently, the membership encompasses more than 400 naturopathic physicians and students, 115 of whom are board-certified Fellows of the American Board of Naturopathic Oncology.    In 2016, oncanp established a committee comprising recognized experts in the field of naturopathic oncology to develop a Principles of Care (poc) guideline. The committee first undertook a review of existing standard-of-care and best-practice guidelines in the field of oncology and then adapted those concepts into a draft document. The draft document was then reviewed by naturopathic physicians, medical and radiation oncologists, naturopathic policy experts, and finally the oncanp membership at large.    The poc document presented here provides clear guidelines for nd oncs on how best to deliver patient-centred care in the areas of assessment, treatment planning, care management, interprofessional collaboration, and survivorship care. This naturopathic oncology poc document can be a valuable resource for nd oncs and other oncology care providers to further an understanding of the naturopathic and integrative oncology care model and its potential for collaboration.

scholarly journals P39 Establishment of the swiss database for dosing medicinal products in pediatrics

2019 ◽  
Vol 104 (6) ◽  
pp. e33.1-e33
Author(s):  
E Giger ◽  
A Glauser ◽  
D Panis ◽  
R Tilen ◽  
C Berger
Keyword(s):  
Public Health ◽  
Interprofessional Collaboration ◽  
National Database ◽  
Health Administration ◽  
Medicinal Products ◽  
Public Database ◽  
Dosage Recommendation ◽  
Public Health Administration ◽  
Hospital Pharmacists ◽  
Frequency Of Use

BackgroundDrug therapy in children is challenging. Due to the lack of licensed drugs for paediatric use, off-label or unlicensed prescription is frequent. To improve quality and safety of prescription of medicinal products for children in Switzerland, the requirement to create and continuously run a national database was added in the revision of the therapeutic products act (TPA Art. 67a). The task of operating the database was given to SwissPedDose, an association representing eight Swiss children’s hospitals, the Swiss Society of Paediatrics (SGP) and the Swiss Association of Public Health Administration and Hospital Pharmacists (GSASA).MethodsSubstances used in three therapeutic areas ‘general paediatrics’, ‘infectious diseases’ and ‘neonatology’ are selected according to their frequency of use in the eight participating hospitals. Dosage data of substance-indication pairs are requested from the hospital pharmacists. Based on these data and literature review a dosage suggestion consisting of substance, indication, route of administration, dose, daily repetitions and, if applicable, additional remarks is then elaborated by a specialised pharmacist of SwissPedDose. This suggestion is then discussed by experienced physicians delegated from the eight clinics. The elaboration, discussion and agreement on a national dosage recommendation takes place and is documented in an online platform specially programmed for this structured harmonisation process. Once an agreement has been achieved, the national dosage recommendation is sent to the eight participating clinics and published in a free accessible public database.ResultsAs of December 31st 2018, 195 dosage recommendations for children including 87 indications and 54 substances have been harmonised and published and are available for medical professionals on https://swisspeddose.ch/database.ConclusionThe goal of published recommendations for 100 substances by March 2021 is feasible to reach due to interprofessional collaboration. SwissPedDose may thus contribute to a more efficient and safe use of drugs prescribed to children in Switzerland.Disclosure(s)Source of Funding: Project funded by the Federal Office of Public Health. Conflict of interest: None, for all listed authors.

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