scholarly journals Why validation is not enough: setting the scene for the implementation of the Kimberley Mum´s Mood Scale

2019 ◽  
Author(s):  
Emma Carlin ◽  
Erica Spry ◽  
David Atkinson ◽  
Julia V Marley
Keyword(s):  
Health Professionals ◽  
Online Survey ◽  
Perinatal Care ◽  
Structured Interview ◽  
Successful Implementation ◽  
North West ◽  
Aboriginal Women ◽  
User Acceptability ◽  
Anxiety Screening ◽  
Mood Scale

Abstract Background The two part Kimberley Mums’ Mood Scale (KMMS) has been developed and validated as a culturally appropriate perinatal depression and anxiety screening tool for Aboriginal women living in the sparsely populated Kimberley region of North West Australia. As part of implementation, aspects of user acceptability were explored to improve clinical utilisation of the KMMS. Methods Eighteen health professionals involved in perinatal care participated in an online survey or a qualitative semi-structured interview. Ten Aboriginal women (who held administrative, professional or executive roles) were subsequently interviewed in depth to further explore aspects of KMMS user acceptability. Results Many of the health professionals were not using the second part of the KMMS (a psychosocial yarning tool). Time constraints and a perception that the KMMS is only appropriate for women with literacy issues were identified as significant barriers to KMMS uptake. The Aboriginal women interviewed considered the KMMS to also be important for literate Aboriginal women and placed high value on having the time and space to yarn to health professionals about issues that are important to them. Implementing the KMMS across the Kimberley region requires robust training of health professionals and strategic engagement with health services to ensure those clinical environments are able to understand the rationale and significance of the KMMS and be engaged in its successful implementation. Conclusion Routine perinatal mental health screening that is efficacious and acceptable to Aboriginal women is an important public health priority. Identifying and addressing barriers to implementation contributes to our understanding of the complexity of improving routine clinical practise.

scholarly journals ‘Having a Quiet Word’: Yarning with Aboriginal Women in the Pilbara Region of Western Australia about Mental Health and Mental Health Screening during the Perinatal Period

2019 ◽  
Vol 16 (21) ◽  
pp. 4253 ◽  
Author(s):  
Emma Carlin ◽  
David Atkinson ◽  
Julia V Marley
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Western Australia ◽  
Perinatal Depression ◽  
Perinatal Period ◽  
Screening Tools ◽  
Depression And Anxiety ◽  
Aboriginal Women ◽  
Anxiety Screening ◽  
Mood Scale

Despite high rates of perinatal depression and anxiety, little is known about how Aboriginal women in Australia experience these disorders and the acceptability of current clinical screening tools. In a 2014 study, the Kimberley Mum’s Mood Scale (KMMS) was validated as an acceptable perinatal depression and anxiety screening tool for Aboriginal women in the Kimberley region of Western Australia. In the current study, we explored if it was appropriate to trial and validate the KMMS with Aboriginal women in the Pilbara. Yarning as a methodology was used to guide interviews with 15 Aboriginal women in the Pilbara who had received maternal and child health care within the last three years. Data were analysed thematically, the results revealing that this cohort of participants shared similar experiences of stress and hardship during the perinatal period. Participants valued the KMMS for its narrative-based approach to screening that explored the individual’s risk and protective factors. While support for the KMMS was apparent, particular qualities of the administering health care professional were viewed as critical to the tool being well received and culturally safe. Building on these findings, we will work with our partner health services in the Pilbara to validate the KMMS with Pilbara Aboriginal women.

scholarly journals Obstetricians’ Attitude towards Childbirth

2021 ◽  
Vol 18 (20) ◽  
pp. 10650
Author(s):  
Ernesto González-Mesa ◽  
Jesús Jiménez-López ◽  
Marta Blasco-Alonso ◽  
Daniel Lubián-López
Keyword(s):  
Health Professionals ◽  
Online Survey ◽  
Task Force ◽  
Perinatal Care ◽  
Psychological Trauma ◽  
Confirmatory Factor Analyses ◽  
Childbirth Experience ◽  
Confirmatory Factor ◽  
Final Score ◽  
And Gender

(1) Background: In Spain, as in other countries, there is an increase in policies and practices focused on the humanization of perinatal care. In this regard, the quality of interpersonal interactions between women and health professionals is one of the main factors, and, apart from other factors, it is influenced by health professionals´ attitudes towards childbirth. The main objective of this study was to determine the attitudes of obstetricians towards the humanization of childbirth and the promotion of a positive childbirth experience. (2) Methods: The psychosocial task force of the Spanish Society of Obstetrics and Gynecology designed a nationwide online survey. The questionnaire on attitudes towards childbirth (CAVE, acronym for “cuestionario de actitudes sobre vivencias y experiencias en el parto”) was used for the assessment. Exploratory and confirmatory factor analyses of the scale were also performed. (3) Results: A total of 384 participants completed the survey. Obstetricians showed a high-quality clinical obstetric performance, but some difficulties in identifying birth-related psychological-trauma risk factors. Some differences according to practice and gender were found in the final score and in areas regarding psychosocial risk, pain, accompaniment, and women´s expectations. (4) Conclusions: In light of the results, it is advisable to launch education initiatives aimed to improve interaction with pregnant women.

scholarly journals Leaders’ support for using online symptom checkers in Finnish primary care: Survey study

2021 ◽  
Vol 27 (4) ◽  
pp. 146045822110522
Author(s):  
Elina Laukka ◽  
Sari Kujala ◽  
Kia Gluschkoff ◽  
Outi Kanste ◽  
Iiris Hörhammer ◽  
...  
Keyword(s):  
Primary Care ◽  
Statistical Analysis ◽  
Health Professionals ◽  
Online Survey ◽  
Survey Study ◽  
Successful Implementation ◽  
Healthcare Organizations ◽  
Factors Associated ◽  
Care Survey ◽  
Statistical Analysis Methods

Online symptom checkers (SCs) are eHealth solutions that offer healthcare organizations the possibility to empower their patients to independently assess their symptoms. The successful implementation of eHealth solutions, such as SCs, requires a supportive organizational culture and leadership. However, there is limited knowledge about the factors associated with leaders’ support for the use of SCs. The aim of the study was to identify the factors associated to primary care leaders’ support for SCs in triage and their experiences of the benefits and challenges related to the use of SCs. An online survey was used to collect data from 84 Finnish primary care leaders. The data were analyzed using statistical analysis methods and content analysis. Vision clarity, perceiving efficiency improvements, and considering the service to be beneficial for patients were associated with leaders’ support for the service (β ranging from 0.41 to 0.44, p < 0.001). Leaders’ support for the service was also associated with how well the leaders provided information about the service to their subordinates (β =0.22, p < 0.048). SCs present slightly more challenges than benefits regarding health professionals’ work. The developers of SCs should focus more on features that decrease health professionals’ workload as well as how the solution can benefit patients.

scholarly journals Therapy Dogs in Educational Settings: Guidelines and Recommendations for Implementation

2021 ◽  
Vol 8 ◽  
Author(s):  
Christine Grové ◽  
Linda Henderson ◽  
Felicia Lee ◽  
Phoebe Wardlaw
Keyword(s):  
School Readiness ◽  
Online Survey ◽  
Structured Interview ◽  
School Support ◽  
School Staff ◽  
Successful Implementation ◽  
Therapy Dogs ◽  
Educational Settings ◽  
Therapy Dog ◽  
Whole School

Therapy dogs in educational settings have gained increase traction in recent years. Despite its potential benefits and popularity, there remain concerns of perceived risks such as sanitation, allergies, and safety issues, as well as a lack of guidelines, regulations and support resources available to school staff. Research is further lacking into the implementation process of therapy dog programs in educational settings. To construct a set of recommendations for school staff to achieve successful implementation of a therapy dog program, the present study investigated the perceived facilitative and impeding factors when implementing a therapy dog program. A total of 13 school staff and 2 coordinators from therapy dog organisations took part in an open-ended online survey and/or a semi-structured interview over the phone, with the aim of gathering their perspectives of implementing a therapy dog program in schools. The thematic analysis of the data indicated facilitative factors such as program flexibility, whole-school support, the need for communication and training for all staff, as well as dog welfare. Successful implementation of therapy dogs in an education setting appear to revolve around (1) flexibility of the dog therapy program to target school's needs, (2) qualities of program instigator, (3) whole-school support, (4) communication, training and education, (5) considerations for dog's welfare. Key barriers identified included a high workload, lack of guidelines on processes, lack of support from the school community, as well as the need for better understanding of the role of a therapy dog. The results highlighted the importance of a whole-school effort when implementing a therapy dog program, as well as the need for guidelines for assessing school readiness, key factors for consideration, and strategies to overcome challenges associated with program implementation.

scholarly journals The Influence of Maternal Childbirth Experience on Early Infant Behavioural Style

2021 ◽  
Author(s):  
◽  
Carmen Power
Keyword(s):  
Health Professionals ◽  
Quantitative Methods ◽  
Online Survey ◽  
Negative Impact ◽  
Perinatal Care ◽  
Infant Temperament ◽  
Physical Factors ◽  
Birth Experience ◽  
Early Infant ◽  
Birth Factors

The use of interventions during childbirth is increasing (WHO, 2018) and, while such interventions can be life-saving, they may have a negative impact on the mother’s experience of birth and her psychological wellbeing post birth. They may also adversely affect the newborn infant’s physiology and behaviour (Taylor, Swift & Glover, 2000; Gitau et al., 2001; Douglas & Hill, 2013). However, little is known about whether the birth and early postnatal experiences influence infant behavioural style (known as temperament) (Thomas & Chess, 1977) beyond the initial postnatal period. Employing an exploratory mixed methods approach, the overarching aim of this thesis was to explore how any potential impacts of birth experience on newborn infant behaviours may occur, and if so, whether they persist beyond the neonatal period; as well, to explore how the mother’s response to her birth experience might mediate such effects. Part One involved a qualitative exploration of the experiences and beliefs of eighteen health professionals and twenty-two mothers in relation to childbirth and early infant behavioural style. Health professionals interviewed in Study One believed that the birth experience could have a direct impact on newborn wellbeing and behaviour as well as influencing it indirectly via the mother’s response to the birth and her subsequent perceptions of and interactions with her baby. In contrast, most of the mothers interviewed in Study Two did not perceive any association between their birth experience and their baby’s early behavioural style. However, a simple content analysis highlighted strong patterns in the data between reported maternal physical and emotional birth experiences and perceived infant temperament during the first year. Part Two (Study Three) involved a detailed online survey of approximately a thousand mothers, employing quantitative methods of analysis. Although physical birth factors contributed to the newborn baby’s response (e.g. alert-content or cry-fuss behaviours), it was subjective and psychological birth factors that predicted ongoing infant behavioural style (0-6 months), for example alert-responsive or unsettled, irritable infant behaviours. Taken together, the data suggest that subjective and psychological factors could be as important as objective physical factors in post-birth mother-infant wellbeing and developing infant temperament. These findings may have important implications for future maternity and perinatal care of mothers and their infants.

Cultural knowledge and treatment of childhood illness

2016 ◽  
Vol 5 (09) ◽  
pp. 4802
Author(s):  
Izabel Cristina Santiago Lemos ◽  
Giovana Mendes De Lacerda ◽  
Maysa de Oliveira Barbosa ◽  
Gyllyandeson de Araújo Delmondes ◽  
Patrícia Rosane Leite de Figueiredo ◽  
...  
Keyword(s):  
Traditional Knowledge ◽  
Health Professionals ◽  
Respiratory Infections ◽  
Structured Interview ◽  
Cultural Knowledge ◽  
Childhood Illness ◽  
Care Practice ◽  
Childhood Illnesses ◽  
Popular Knowledge

Traditional knowledge emerges as a relevant figure in care used by mothers and caregivers for the management of acute respiratory infections, diarrhea and anemia. To understand the meaning given to the use of traditional knowledge by mothers or caregivers for the treatment of these illnesses, their reflexes to conventional treatment, as well as discuss the role of health professionals with regard to the use of plants and animals by mothers or responsible for the management the respiratory infections; diarrhea and anemia. The research was conducted in Santo Antônio community (Barbalha - CE). Techniques as “rapport” and “Snowball” were used for data collection, and a closed questionnaire and semi-structured interview were applied. For data analysis, the Collective Subject Discourse (CSD) was used. The sample included 54 informants. There were 19 key ideas identified, which revealed an appreciation of the use of natural resources to treat the respiratory infections; diarrhea and anemia, an association between conventional and traditional medicine in the management these common childhood illnesses and the need for health professionals value the popular knowledge in assistance provided. Health professionals are encouraged to include behaviors in their care practice that allow greater contact with local cultures, being able to measure what resources are used and how they can interfere on the prescribed therapy.

scholarly journals AB1335-HPR HEALTH PROFESSIONALS’ PERSPECTIVE ON THE BENEFITS AND RISKS OF LOW-DOSE GLUCOCORTICOIDS IN RHEUMATOID ARTHRITIS – AN INTERNATIONAL SURVEY OF 444 HEALTH PROFESSIONALS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1955.1-1956
Author(s):  
T. Santiago ◽  
M. Voshaar ◽  
M. De Wit ◽  
P. Carvalho ◽  
M. Boers ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Adverse Events ◽  
Health Professionals ◽  
Patient Perspective ◽  
Online Survey ◽  
Low Dose ◽  
Low Doses ◽  
Research Support ◽  
Serious Adverse Events ◽  
Patient Organizations

Background:The Glucocorticoid Low-dose Outcome in Rheumatoid Arthritis Study (GLORIA) is an international investigator-initiated pragmatic randomized trial designed to study the effects of low-dose glucocorticoids (GCs) in elderly patients with Rheumatoid Arthritis (RA).The research team is also committed to promote a better understanding of the risks and benefits of these drugs among health professionals and patients. In order to achieve these goals, it is important to assess the current ideas and concerns of patients regarding GCs.Objectives:To evaluate the current patient perspective on the efficacy and risks of GCs in RA patients who are or have been treated with GCs.Methods:Patients with RA completed an online survey (with 5 closed questions regarding efficacy and safety) presented in their native language. RA patients were recruited through a variety of patient organizations representing three continents. Patients were invited to participate through national patient organizations. In the USA, patients were also invited to participate through MediGuard.org. Participants were asked for their level of agreement on a 5-point Likert scale.Results:1344 RA patients with exposure to GCs, from Brazil, USA, UK, Portugal, Netherlands, Germany and 24 other countries** participated: 89% female, mean age (SD) 52 (14) years and mean disease duration 13 (11) years. The majority of participants (84%) had ≥10 years of education. The duration of GCs exposure was 1.6 (4.2) years. The majority of participants had read articles or pamphlets on the benefits or harms of GC therapy.Regarding GCs efficacy (table 1), high levels of endorsement were found: about 2/3 of patients considered that GCs as very useful in their case, more than half considered that GCs were effective even at low doses, and agreed that GC improved RA symptoms within days.Regarding safety (table 1), 1/3 of the participants reported having suffered some form of serious adverse events (AEs) due to GCs, and 9% perceived this as “life-threatening. Adverse events had a serious impact on quality of life, according to about 1/3 of the respondents.Conclusion:Patients with RA exposed to GC report a strong conviction that GCs are very useful and effective for the treatment of their RA, even at low doses. This is accompanied by an important prevalence of serious AEs. Understanding the patient perspective can improve shared decision-making between patient and rheumatologist.Funding statement:This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 634886.Disclosure of Interests:Tânia Santiago: None declared, Marieke Voshaar Grant/research support from: part of phd research, Speakers bureau: conducting a workshop (Pfizer), Maarten de Wit Grant/research support from: Dr. de Wit reports personal fees from Ely Lilly, 2019, personal fees from Celgene, 2019, personal fees from Pfizer, 2019, personal fees from Janssen-Cilag, 2017, outside the submitted work., Consultant of: Dr. de Wit reports personal fees from Ely Lilly, 2019, personal fees from Celgene, 2019, personal fees from Pfizer, 2019, personal fees from Janssen-Cilag, 2017, outside the submitted work., Speakers bureau: Dr. de Wit reports personal fees from Ely Lilly, 2019, personal fees from Celgene, 2019, personal fees from Pfizer, 2019, personal fees from Janssen-Cilag, 2017, outside the submitted work., Pedro Carvalho: None declared, Maarten Boers: None declared, Maurizio Cutolo Grant/research support from: Bristol-Myers Squibb, Actelion, Celgene, Consultant of: Bristol-Myers Squibb, Speakers bureau: Sigma-Alpha, Frank Buttgereit Grant/research support from: Amgen, BMS, Celgene, Generic Assays, GSK, Hexal, Horizon, Lilly, medac, Mundipharma, Novartis, Pfizer, Roche, and Sanofi., José Antonio P. da Silva Grant/research support from: Pfizer, Abbvie, Consultant of: Pfizer, AbbVie, Roche, Lilly, Novartis

scholarly journals Older and Wiser? The Need to Reexamine the Impact of Health Professionals Age and Experience on Competency-Based Practices

2021 ◽  
Vol 7 ◽  
pp. 237796082110290
Author(s):  
Jing Xu ◽  
Kristen Hicks-Roof ◽  
Chloe E. Bailey ◽  
Hanadi Y. Hamadi
Keyword(s):  
Health Professionals ◽  
Online Survey ◽  
Evidence Based Practice ◽  
Core Competencies ◽  
Healthcare Services ◽  
Interdisciplinary Teams ◽  
Evidence Based ◽  
Health Providers ◽  
Cross Sectional ◽  
The Impact

Introduction Delivery of healthcare services makes up a complex system and it requires providers to be competent and to be able to integrate each of the institute of medicine’s (IOM) 5 core competencies into practice. However, healthcare providers are challenged with the task to be able to understand and apply the IOM core competencies into practice. Objective The purpose of the study was to examine the factors that influence health professional’s likelihood of accomplishing the IOM core competencies. Methods A cross-sectional study design was used to administer a validated online survey to health providers. This survey was distributed to physicians, nursing professionals, specialists, and allied healthcare professionals. The final sample included 3,940 participants who completed the survey. Results The study findings show that younger health professionals more consistently practice daily competencies than their older counterparts, especially in the use of evidence-based practice, informatics, and working in interdisciplinary teams. Less experienced health professionals more consistently applied quality improvement methods but less consistently used evidence-based practice compared to their more experienced counterparts. Conclusion There is a need to understand how health professionals’ age and experience impact their engagement with IOM’s core competencies. This study highlights the need for educational resources on the competencies to be tailored to health providers’ age and experience.

scholarly journals Child health professionals´ experiences of the introduction and successful implementation of rotavirus vaccination in Sweden

2021 ◽  
Author(s):  
Margaretha Stenmarker ◽  
Carin Oldin ◽  
Marie Golsäter ◽  
Margareta Blennow ◽  
Karin Enskär ◽  
...  
Keyword(s):  
Child Health ◽  
Health Professionals ◽  
Successful Implementation ◽  
Rotavirus Vaccination

Understanding the Experience of Geriatric Care Professionals in Using Telemedicine to Care for Older Patients in Response to the COVID-19 Pandemic: Qualitative Study (Preprint)

2022 ◽  
Author(s):  
Wenwen Chen ◽  
Ashley Flanagan ◽  
Pria MD Nippak ◽  
Michael Nicin ◽  
Samir K Sinha
Keyword(s):  
Older Patients ◽  
Online Survey ◽  
Structured Interview ◽  
Geriatric Care ◽  
Knowledge Network ◽  
Relative Advantage ◽  
Design Quality ◽  
Greater Toronto Area ◽  
Knowledge And Beliefs ◽  
Access To Knowledge

BACKGROUND Geriatric care professionals were forced to rapidly adopt the use of telemedicine technologies to ensure the continuity of care for their older patients in response to the COVID-19 pandemic. However, there is little current literature that describes how telemedicine technologies can best be employed to meet the needs of geriatric care professionals in providing care to frail older patients and their caregivers, and families. OBJECTIVE This study aimed to identify the benefits and challenges geriatric care professionals face when using telemedicine technologies with frail older patients, their caregivers, and families, and how to maximize the benefits of this method of providing care. METHODS We conducted a mixed methods study that recruited geriatric care professionals to complete an online survey regarding their personal demographics and experiences with using telemedicine and participate in a semi-structured interview. Interview responses were analyzed using the Consolidated Framework for Implementation Research (CFIR). RESULTS We obtained quantitative and qualitative data from 30 practicing geriatric care professionals (22 geriatricians, 5 geriatric psychiatrists, and 3 geriatric specialist nurses) recruited from across the Greater Toronto Area. Analysis of interview data identified 5 CFIR contextual barriers (Complexity, Design quality and packaging, Patient needs and resources, Readiness for implementation, and Culture) and 13 CFIR contextual facilitators (Relative Advantage, Adaptability, Tension for Change, Available Resources, Access to Knowledge, Network and Communications, Compatibility, Knowledge and Beliefs, Self-Efficacy, Champions, External Agents, Executing, and Reflecting and Evaluating). The CFIR concept of External Policy and Incentives was found to be a neutral construct. CONCLUSIONS This is the first known study to use the CFIR to develop a comprehensive narrative to characterize the experiences of geriatric care professionals using telemedicine technologies in providing care. Overall, telemedicine can significantly enable most of the geriatric care that is traditionally provided in person, but is less useful in providing specific aspects of geriatric care to frail older patients and their caregivers, and families.

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