scholarly journals Factors Related To Implementation of An Interprofessional Communication Concept In Thoracic Oncology: A Mixed-Methods Study

2022 ◽  
Author(s):  
Katja Krug ◽  
Jasmin Bossert ◽  
Sophia Möllinger ◽  
Nicole Deis ◽  
Laura Unsöld ◽  
...  
Keyword(s):  
Focus Groups ◽  
Positive Attitude ◽  
Interprofessional Collaboration ◽  
Negative Attitude ◽  
Advanced Lung Cancer ◽  
Related Factors ◽  
Interprofessional Communication ◽  
Factors Associated ◽  
Sum Scores ◽  
The Impact

Abstract Background: An innovative patient-centred interprofessional communication concept with advanced lung cancer patients (Heidelberg Milestone Communication Approach, MCA) has been developed and implemented. Role changes and interprofessional communication are challenging in a busy outpatient oncology service. The aim of the study was to assess team-related factors associated with its implementation and thoracic oncology teams’ attitudes towards interprofessional collaboration.Methods: Interviews and focus groups on implementation and interprofessional collaboration in the context of MCA were conducted with healthcare staff. The topics were analysed deductively, guided by the Professional Interactions factor of the Tailored Implementation for Chronic Diseases (TICD) framework. In addition, 3 of the 4 subscales of the validated German translation of the University of the West of England Interprofessional Questionnaire (UWE-IP-D) were collected prior to implementation of MCA (t0) with follow-up data collections at 4 months (t1), 10 months (t2) and 17 months (t3). Descriptive analysis included calculating subscale sum scores and categorizing each subscale into positive, neutral and negative attitudes. Results: Fifteen staff members participated in the interviews and focus groups. The main interprofessional interaction factors associated with implementation concerned the knowledge of the MCA and the impact of the intervention on team roles, on information sharing and on transfer processes between wards. The survey with 87 staff (44 nurses, 13 physicians, 12 psycho-social staff, 7 therapists, and 11 others) participating at least once (t0: n=20, t1: n=48, t2: n=33, t3: n=25) found heterogeneous attitudes. A positive attitude to ‘Communication and Teamwork’ was indicated by individual sum scores between 10 and 23 (M=17.7, SD=3.0). The majority of the respondents (n=48) had neutral attitudes to ‘Interprofessional Interaction’ with individual sum scores varying between 13 and 45 (positive attitude n=14, negative attitude n=22; M=28.5, SD=5.6). ‘Interprofessional Relationships’ were characterized by primarily positive attitudes (n=80) (neutral: n=6, negative attitude n=1; M=16.0, SD=3.6). There were no differences between collection times.Conclusions: Positive experiences and potential shortfalls in the implementation were observed. Future introductions of interprofessional communication concepts require further activities which should address the attitudes of healthcare professionals towards interprofessional care.Trial registration: DRKS00013469 / Date of registration: 22/12/2017.

Prevalence and family factors associated with loneliness during COVID-19: A cross-sectional study from South India

2020 ◽  
Vol 3 (02) ◽  
pp. 61-67
Author(s):  
G. Sanjana ◽  
Vijaya Raghavan
Keyword(s):  
Online Survey ◽  
South India ◽  
Survey Design ◽  
Southern India ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Crisis ◽  
Factors Associated ◽  
Family Discord ◽  
The Impact

Background: Loneliness can affect anyone at any point in their life. It can be detrimental to the wellbeing and quality of life of individuals and communities. In the ongoing COVID-19 pandemic, loneliness is considered as a public health crisis. Hence, the objectives of the study were to estimate the prevalence of loneliness and family related factors associated with loneliness among general population in south India. Materials and Methods: The study employed a crosssectional online survey design. The data was collected in the first phase of the lockdown in 2020 from adults in Southern India. Socio-demographic profile and family related variables were collected using a semistructured proforma. Loneliness was assessed by UCLA loneliness scale. Results: Of 573 total respondents to the survey, aged between 18-65 years, 43% were male and 57% were female. The overall prevalence of loneliness was 63% (358/573). No significant gender differences were observed in the prevalence of loneliness. Family discord was associated with higher rates of loneliness (p less than 0.01). Other factors associated were younger age and being single. Conclusion: Rates of loneliness during the COVID-19 lockdown were high in Southern India. Findings suggest that interventions should prioritize younger people. Increasing social support and improving interpersonal skills, which in turn would help reduce family discord and may reduce the impact of COVID-19 on loneliness.

Electronic prompt to improve outpatient code status documentation for advanced lung cancer.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 6048-6048
Author(s):  
Jennifer S. Temel ◽  
Joseph A. Greer ◽  
Emily R. Gallagher ◽  
Vicki A. Jackson ◽  
Inga Tolin Lennes ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Focus Groups ◽  
Chemotherapy Regimen ◽  
Academic Medical Center ◽  
Advanced Lung Cancer ◽  
Code Status ◽  
One Year ◽  
Study Participants ◽  
The Impact ◽  
Historical Controls

6048 Background: Rates of documentation of end-of-life care preferences in the medical record remain low, even among patients with incurable malignancies.  The goal of this study was to assess the impact of electronic prompts to encourage oncology clinicians to document code status in the outpatient electronic health record (EHR) of patients with advanced lung cancers. Methods: We conducted two clinician focus groups (n=15) at an affiliated academic medical center to determine the appropriate content and timing of the electronic reminders.  Based on the focus groups, we developed email reminders that were timed to the start of each new chemotherapy regimen.  Between 6/09 and 1/11, 102 eligible patients with advanced lung cancer were approached, and 100 (98%) agreed to participate in the prospective study.  Email reminders were sent to oncology clinicians at the patient's next outpatient visit and with each new chemotherapy regimen.  Using a pre-post design, we compared study participants to a retrospective cohort of 100 consecutive historical controls who began chemotherapy for advanced lung cancer at least one year prior to the start of this study.  The primary outcome measure was the documentation of code status in the EHR.   Results: Study participants were similar to historical controls, with no significant differences in age, gender, performance status, histology or initial cancer therapy received.  At one year follow-up, 33/98 (34%) of participants had a code status documented in the outpatient EHR compared with 12/83 (15%) of historical controls, p=0.003.  Mean time to code status documentation was significantly shorter in study participants (8.6 months [95% CI 7.6-9.5]) compared with controls (10.5 months [95% CI 9.8-11.3]), p=0.004. Conclusions: Email prompts triggered by changes in chemotherapy improved the rate and timing of code status documentation in the EHR.

scholarly journals Prevalence and family factors associated with loneliness during COVID-19: A cross-sectional study from South India

2020 ◽  
Vol 3 (02) ◽  
pp. 61-67
Author(s):  
G. Sanjana ◽  
Vijaya Raghavan
Keyword(s):  
Online Survey ◽  
South India ◽  
Survey Design ◽  
Southern India ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Crisis ◽  
Factors Associated ◽  
Family Discord ◽  
The Impact

Background: Loneliness can affect anyone at any point in their life. It can be detrimental to the wellbeing and quality of life of individuals and communities. In the ongoing COVID-19 pandemic, loneliness is considered as a public health crisis. Hence, the objectives of the study were to estimate the prevalence of loneliness and family related factors associated with loneliness among general population in south India. Materials and Methods: The study employed a crosssectional online survey design. The data was collected in the first phase of the lockdown in 2020 from adults in Southern India. Socio-demographic profile and family related variables were collected using a semistructured proforma. Loneliness was assessed by UCLA loneliness scale. Results: Of 573 total respondents to the survey, aged between 18-65 years, 43% were male and 57% were female. The overall prevalence of loneliness was 63% (358/573). No significant gender differences were observed in the prevalence of loneliness. Family discord was associated with higher rates of loneliness (p less than 0.01). Other factors associated were younger age and being single. Conclusion: Rates of loneliness during the COVID-19 lockdown were high in Southern India. Findings suggest that interventions should prioritize younger people. Increasing social support and improving interpersonal skills, which in turn would help reduce family discord and may reduce the impact of COVID-19 on loneliness.

scholarly journals A CO-RELATION STUDY TO ASSESS PARENTAL KNOWLEDGE AND ATTITUDE REGARDING THE IMPACT OF TELEVISION ON CHILDREN IN SELECTED AREA KANPUR, U.P

2020 ◽  
pp. 434-440
Author(s):  
Pratibha Srivastava
Keyword(s):  
Positive Attitude ◽  
Negative Attitude ◽  
Knowledge Score ◽  
Parental Knowledge ◽  
Good Knowledge ◽  
Attitude Score ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knowledge And Attitude ◽  
The Impact

Today's Children will be tomorrow's responsible citizen of the country. Entertainment is an essential part of life, by this we feel tension free, relaxed, energetic and having a positive attitude towards life. Games plays an important role for the all round development of the children's personality especially outdoor games but Now a days children are adopting habits of playing indoor games and also entertaining themselves by using various electronic devices as we know one of them is television. There are various programmes such as various kids’ channels, cartoon shows, video games etc. being watched by the children. Directly or indirectly these programs affect behaviour of the children in positive and negative ways. That’s why it is needed that parents should have a look for types of programmes seen by children, how long a child is watching a program, how it is affecting child habits/ behaviour etc. Later on, these negative impacts will create health issues/behaviour problems such as obesity, aggressive behaviour, lack of concentration etc. Child who watch television for 10 hours or more per week are less skilled at reading and are less successful in school as compared to children who watch television for less than 10 hours per week. The American academy of paediatrics makes the following recommendations regarding television viewing should not exceed one to two hours of quality programming daily and children younger than two years old should not watch television.1 That is why researchers took this topic to highlight the attitude and knowledge of parents about the impact of television on their Children's behaviour. A co-relational study conducted to assess parental knowledge and attitude regarding the impact of television on children in selected area at Kanpur (U.P). A descriptive cross-sectional survey approach was used, sample size was 100 parents selected by convenient sampling for this study. Self-structured knowledge questionnaire was used to assess the knowledge of parents, and attitude of parents was assessed by Likert scale. The study shows that among 100 parents 8% of them had poor knowledge, 36% average knowledge, 50% good knowledge, 6% very good knowledge about impact of television on children. The study shown the positive attitude 84%, negative attitude 16% on impact of television on children. The correlation value shows that positive correlation between knowledge and attitude score of parents. There was no significant association between knowledge score with their demographic variables and significant association seen between attitude score with types of family, educational status of parents, income of parents and number of children. There was no significant association between attitude score with age of parents and religion. KEYWORDS: Impact, Television, Attitude, Parental Knowledge,

scholarly journals Factors Associated with Condom Knowledge, Attitude, and Use among Black Heterosexual Men in Ontario, Canada

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Josephine Etowa ◽  
Hughes Loemba ◽  
Winston Husbands ◽  
Josephine Wong ◽  
Francisca Omorodion ◽  
...  
Keyword(s):  
Critical Race Theory ◽  
Sexual Health ◽  
Condom Use ◽  
Odds Ratio ◽  
Positive Attitude ◽  
Positive Association ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Correct Knowledge

African, Caribbean, and black (ACB) men living in Canada share a heightened risk of HIV infection and the associated risk factors such as suboptimal use of family planning services such as condom use. In this study, we assessed the factors associated with knowledge, attitude, and condom use among ACB men in Ontario. Methods. This was a cross-sectional study that surveyed heterosexual ACB men regardless of their residency status living in Ontario (n = 430). This is a part of a larger mixed methods study informed by critical race theory, intersectionality, and community-based participatory research (CBPR). Outcome variables were knowledge of condom use, attitude towards condom use, and actual use of condom during the last 12 months. Results. Of 430 participants, 77.70% has good knowledge of condom use as a protection against HIV transmission, 31.77% had positive attitude towards condom use, and 62.43% reported using condom regularly with casual partners during the last 12 months. Men who were currently married had more positive attitude towards condom use compared with their unmarried counterparts (odds ratio = 1.46, 95% CI = 1.20, 1.78). Canadian residents were found to have higher odds of having correct knowledge of condom (odds ratio = 1.31, 95% CI = 1.11, 1.55), and positive attitude towards condom use (odds ratio = 1.44, 95%CI = 1.09, 1.92). Men who visited sexual health clinics showed a positive association with having correct knowledge of condom (odds ratio = 1.78, 95% CI = 1.30, 2.44) and reported experiences of difficulty in accessing sexual health. This showed a negative association towards condom use (odds ratio = 0.45, 95% CI = 0.21, 0.97]. Conclusion. A considerable percentage of heterosexual ACB men did not have correct knowledge regarding the protective effect of condom use against HIV and positive attitude towards the use of condom. Several sociodemographic and healthcare-related factors were significantly associated with knowledge, attitude, and use of condom.

scholarly journals Exploring the impact of COVID-19 on the willingness of older adults to participate in physiology research: views from past and potential volunteers

2021 ◽  
Author(s):  
Colleen S Deane ◽  
Amanda Gates ◽  
Gemma D Traviss-Turner ◽  
Daniel James Wilkinson ◽  
Kenneth Smith ◽  
...  
Keyword(s):  
Older Adults ◽  
Focus Groups ◽  
Positive Attitude ◽  
Online Questionnaire ◽  
The Impact

We explored the views of older (≥65 years) past and potential volunteers in regard to participating in physiology research during the COVID-19 pandemic. Using an online questionnaire and focus groups, we found that past volunteers (n=55) were more likely to take part in both acute (p<0.05) and chronic (p<0.05) physiology studies, compared to potential future volunteers (n=57). Both cohorts demonstrated a positive attitude towards volunteering during the COVID-19 pandemic, although concern was evident. Novelty • Volunteers demonstrated a positive attitude and also concern towards participating in physiology research during COVID-19

The prevalence and related factors of phantom vibration among medical students: A first look in Vietnam

MedPharmRes ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 23-31
Author(s):  
Tran Ngoc Dang ◽  
Nguyen Thanh Hoa ◽  
Nguyen Phuoc Long ◽  
Nguyen Hong An ◽  
Tran Le Huy Vu ◽  
...  
Keyword(s):  
Medical Students ◽  
Ho Chi Minh City ◽  
P Value ◽  
Undergraduate Medical Students ◽  
Online Questionnaire ◽  
Psychiatric Disturbance ◽  
Related Factors ◽  
Factors Associated ◽  
Emotional Factors ◽  
The Impact

Background: Phantom vibration (PV) is an illusionary perception in which people perceive their mobile phone vibrates while it actually does not. Recently, PV has attracted attention in psychology and medical field. There are several studies investigating the prevalence and risk factors associated with this phenomenon. However, the findings are inconsistent. The prevalence of PV fluctuates from 21% to 89% among different groups and its mechanism remains unclear. Further understanding is necessary to identify the settings in which PV may harm the population and warrant further exploration. Objectives: This study aims to explore the prevalence of PV among medical students in Ho Chi Minh City and settings that PV can risk people’s health. Relationships between PV and phone usage habits as well as psychiatric disturbance also are investigated. Methods: By using online questionnaire on 377 undergraduate medical students in Ho Chi Minh City, Vietnam, the cross-sectional study explored factors associated with PV, including demographic, behavioral phone usage, and mental/emotional factors using the Self Reporting Questionaire - 20 (SRQ-20). The descriptive and association analyses were employed using R software. Results: The study found a significant association between mental/emotional factors (i.e. mental disturbance and phone attachment) and PV (OR=2.15, 95% CI=1.21-3.81, p value=0.009; OR=1.75, 95% CI=1.02-3.01, p value=0.043 respectively), which suggests an important role of mental/emotional factors in explaining the potential mechanism of PV. A high proportion of participants also experienced PV while driving (55.5%) within the last month. This implies the impact of PV possibly becomes significant, causing an increase in the risk of traffic accident due to distracted driving.

scholarly journals Attitudes Toward Robots as Equipment and Coworkers and the Impact of Robot Autonomy Level

2021 ◽  
Author(s):  
Rita Latikka ◽  
Nina Savela ◽  
Aki Koivula ◽  
Atte Oksanen
Keyword(s):  
Technology Use ◽  
Self Efficacy ◽  
Positive Attitude ◽  
Online Survey ◽  
Autonomous Robots ◽  
Negative Attitude ◽  
The United States ◽  
Successful Implementation ◽  
Comprehensive Overview ◽  
The Impact

AbstractIncreasingly, people must interact with robot technologies. In this research, we examined attitudes toward robots as equipment and as coworkers and whether these attitudes are affected by the autonomy of the robot among participants living in the United States (Study 1: N = 1003; Study 2: N = 969). Study 1 revealed that respondents had a more positive attitude toward robots as equipment than as coworkers. Technology use self-efficacy and prior robot use experience were associated with more positive attitudes toward both robot positions. Having a degree in engineering or technology was associated with a positive attitude toward robot coworkers, while neuroticism was associated with a negative attitude. Additionally, technology use self-efficacy was found to have a significant indirect effect on the associations between openness and attitudes toward robots as well as conscientiousness and attitudes toward robots. In Study 2, a three-group online survey experiment showed that teleoperated robots and semi-autonomous robots were preferred as equipment over fully autonomous robots. The robots’ autonomy level did not impact attitude toward robot coworkers. Overall, the results suggest that people prefer non-autonomous robots over autonomous robots in the work-life context. The studies provide a comprehensive overview of attitudes toward robots as both equipment and coworkers, and the key predictors of the noted attitudes. The results suggest a readiness for shared autonomy between a human operator and a robot. This should be considered in the design and successful implementation of new robot technologies in workplaces.

scholarly journals A Pilot Study Exploring the Impact of Interprofessional Simulation on Role Clarity and Student Readiness for Collaborative Clinical Practice

2020 ◽  
Author(s):  
Shira Weiner ◽  
Laura Hagan ◽  
Julie Kardachi
Keyword(s):  
Pilot Study ◽  
Physical Therapy ◽  
Occupational Therapy ◽  
Focus Groups ◽  
Interprofessional Collaboration ◽  
Physical Therapy Students ◽  
Role Clarity ◽  
Interprofessional Learning ◽  
Student Readiness ◽  
The Impact

Purpose: Interprofessional collaboration is recognized as a healthcare practice paradigm that may decrease overall costs and minimize errors. Yet it remains common for practitioners to provide care within silos, inadequately considering the impact of their decisions on other providers and overall costs, which ultimately may negatively impact the patient. Integrating interprofessional collaboration in school curricula can establish the importance of this approach to healthcare. For optimal efficacy, every professional in the healthcare team must recognize their unique role and the roles of others, to allow for seamless interprofessional collaboration. Simulation is a teaching tool that provides students with the opportunity to experience and reflect upon their responses to real-world clinical encounters in an environment that is safe to them and to patients. The purpose of this pilot study was to investigate the effect of interprofessional simulation on occupational therapy and physical therapy students’ role clarity and perceived readiness for collaborative practice. Method: A mixed methods study design was used with occupational and physical therapy students matriculated in the same college. Two surveys were given to the participants pre- and post-interprofessional simulation: the Readiness for Interprofessional Learning Scale (RIPLS; evaluates student readiness for interprofessional learning) and the Interdisciplinary Education Perception Scale (IEPS; evaluates student perceptions of interprofessional training). Focus groups followed the interprofessional simulation to explore the subjects’ experience. Results: Statistically significant changes were noted in the RIPLS pre-post simulation. Five themes emerged from the focus groups including: students value simulation; students value interprofessional education; interprofessional experience facilitates an understanding of role clarity; teamwork has value and challenges; and, students value providing patient centered care. Conclusion: Simulation is a teaching resource that may prepare occupational therapy and physical therapy students for interprofessional collaboration in patient care. The results of this study can inform interprofessional curricular development for both occupational therapy and physical therapy programs.

scholarly journals Predictors of Adverse TB Treatment Outcome among TB/HIV Patients Compared with Non-HIV Patients in the Greater Accra Regional Hospital from 2008 to 2016

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Kenneth Mawuta Hayibor ◽  
Delia Akosua Bandoh ◽  
Adwoa Asante-Poku ◽  
Ernest Kenu
Keyword(s):  
Treatment Outcome ◽  
Treatment Success ◽  
Regional Hospital ◽  
Hiv Status ◽  
Hiv Patients ◽  
Related Factors ◽  
Factors Associated ◽  
Tb Treatment ◽  
Outcome Monitoring ◽  
The Impact

Introduction. The convergence of TB and HIV dual epidemics is a major public health challenge in Ghana as well as many developing countries. Treatment outcome monitoring is a vital part of the surveillance needed to successfully eliminate TB. The impact of HIV status and demographic and treatment-related factors on adverse TB treatment outcome has not been studied in the Greater Accra Regional Hospital. This study determined factors associated with TB treatment outcome in patients with TB-HIV coinfection and TB-only infection in the hospital. Method. A cross-sectional study was carried out in the Greater Accra Regional Hospital. We reviewed TB treatment cards of patients who received treatment for tuberculosis in the hospital from 2008 to 2016. Data on treatment outcome and sociodemographic and clinical characteristics were extracted on TB-only-infected and TB/HIV-coinfected patients. The chi-squared test and binary and multiple logistic regression models were used to assess factors associated with adverse treatment outcome. Results. Out of the 758 patient records analyzed, 174 (22.9%) were TB-HIV-coinfected patients. Overall treatment success for all TB patients was 88.1% (668/758). About 11.9% (90/758) of the patients had an adverse treatment outcome, including treatment failure 0.9% (7/758), defaulting 0.9% (7/758), and death 10.0% (76/758). TB-HIV-coinfected patients’ treatment success was 78.1% (136/174). TB-only patients’ treatment success was 91.4% (532/582). Independent predictors of adverse treatment outcome were found to be as follows: being HIV positive (aOR: 3.85, 95% CI: 2.19-6.75; p<0.01); aged 65 and above (aOR: 1.76, 95% CI: 1.44-1.54; p=0.01); and previously failed TB treatment (aOR: 5.02, 95% CI: 2.09-28.87; p<0.01). Conclusion. Treatment outcome for TB-HIV-coinfected patients is below the WHO target. HIV status, age, and category of patient of the TB patients were associated with adverse treatment outcome. Strengthening the TB/HIV collaborative efforts by stakeholders is required for good treatment outcomes.

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