scholarly journals Perceptions and Attitudes of Midwives on Respectful Maternity Care During Childbirth: A Qualitative Study in Three District Hospitals of Kigali City of Rwanda, 2019

2021 ◽  
Author(s):  
Valentine Uwamahoro ◽  
Jean Paul Semasaka Sengoma ◽  
Albert Ndagijimana ◽  
James Humuza
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Professionals ◽  
Maternity Care ◽  
Fundamental Rights ◽  
Respectful Maternity Care ◽  
Human Right ◽  
Positive Attitudes ◽  
Perceptions And Attitudes ◽  
District Hospitals

Abstract Background: Respectful maternity care (RMC) is “a universal human right for every childbearing woman”. Mistreatment during childbirth is a violation of women’s fundamental rights and affects accessibility to women’s health services. In Rwanda, little is known about health care professionals’ perceptions and attitudes towards RMC during childbirth. This study aimed to investigate the perceptions and attitudes of midwives towards the provision of respectful maternity care during childbirth.Methods: This qualitative study used individual in-depth interviews in Kinyarwanda language. A purposive sampling method was used to reach out to 28 midwives from three district hospitals in Kigali city. Interviews were recorded, transcribed, translated into English and thematic content analysis was performed using Atlas ti, version 7. The study was ethically approved by the University of Rwanda College of Medicine and Health Sciences Institutional Review Board, before data collection.Results: Most of participants revealed that they have knowledge on RMC and perceive that they provide maternal health care based on women’s rights. Positive attitudes towards providing RMC were reported by midwives working in maternity. However, a considerable number of participants reported the existence of abusive practices among midwives. Most of the midwives reported facing many challenges which affect their ability to provide respectful maternal care.Conclusion: In general, midwives understand the seven rights of mothers and had a positive attitude towards providing RMC. However, some abusive practices still exist among midwives while providing RMC with considerable reported challenges, including overload and lack of labour monitoring materials. The adjustment of the ratio of midwives to clients and availability of essential materials in labour monitoring is suggested.

Health-care professionals’ perceived trust in and willingness to recommend functional foods: A qualitative study

Appetite ◽  
2007 ◽  
Vol 48 (2) ◽  
pp. 241-247 ◽  
Author(s):  
Eva Landström ◽  
Birgitta Sidenvall ◽  
Ulla-Kaisa Koivisto Hursti ◽  
Maria Magnusson
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Professionals ◽  
Functional Foods ◽  
Perceived Trust ◽  
Willingness To Recommend

scholarly journals Social and Health System Complexities Impacting on Decision-Making for Utilization of Oncology and Palliative Care in an African Context: A Qualitative Study

2019 ◽  
Vol 35 (3) ◽  
pp. 185-191 ◽  
Author(s):  
David A. Agom ◽  
Stuart Allen ◽  
Sarah Neill ◽  
Judith Sixsmith ◽  
Helen Poole ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Palliative Care ◽  
Qualitative Study ◽  
Health Care System ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Semistructured Interview ◽  
Design Data ◽  
Care System

Background: There is a dearth of research focusing on identifying the social complexities impacting on oncology and palliative care (PC), and no study has explored how the health-care system in Nigeria or other African contexts may be influencing utilization of these services. Aim: This study explored how social complexities and the organization of health-care influenced the decision-making process for the utilization of oncology and PC in a Nigerian hospital. Methods: This qualitative study used an interpretive descriptive design. Data were collected using semistructured interview guides with 40 participants, comprising health-care professionals, patients, and their families. Thematic analysis was conducted to generate and analyze patterns within the data. Findings: Three themes were identified: dysfunctional structural organization of the health-care delivery system, service-users’ economic status, and the influence of social networks. The interrelationship between the themes result in patients and their family members decisions either to present late to the hospital, miss their clinical appointments, or not to seek oncological health care and PC. Conclusion: This article offers insights into the role of the health-care system, as organized currently in Nigeria, as “autoinhibitory” and not adequately prepared to address the increasing burden of cancer. We therefore argue that there is a need to restructure the Nigerian health-care system to better meet the needs of patients with cancer and their families as failure to do so will strengthen the existing inequalities, discourage usage, and increase mortality.

A Literature Review of Health Care Professional Attitudes Toward Complementary and Alternative Medicine

2008 ◽  
Vol 13 (3) ◽  
pp. 139-154 ◽  
Author(s):  
Maida J. Sewitch ◽  
Monica Cepoiu ◽  
Nicole Rigillo ◽  
Donald Sproule
Keyword(s):  
Health Care ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Health Care Professionals ◽  
Public Health Professionals ◽  
Positive Attitudes ◽  
Personal Use ◽  
School Faculty ◽  
Level Of Knowledge ◽  
Complementary And Alternative

Objective. To summarize health care professionals' attitudes toward complementary and alternative medicine (CAM). Methods. In October 2006, we searched Allied and Complementary Medicine Database (AMED; 1985—2006), Excerpta Medica Database (EMBASE; 1980—2006), and MED-LINE (1960—2006) for Canadian or US studies of health care professionals' attitudes toward CAM, published in English or French. Results. A total of 21 surveys of physicians, nurses, public health professionals, dietitians, social workers, medical/nursing school faculty, and pharmacists were included that focused on beliefs about CAM efficacy, personal use, clinical practice use and referrals, communication with patients about CAM, level of knowledge, and the need for information regarding various CAM therapies. Physicians were more negative compared to other health care professionals. Positive attitudes toward CAM did not correlate with CAM referral or prescription patterns. Health care professionals of all disciplines wanted more information about CAM. Conclusions. Heterogeneity in the CAM definition and questionnaire items precluded summarizing health care professionals' attitudes toward CAM. Providing CAM education to health care professionals may help to integrate CAM into mainstream medical care.

scholarly journals Barriers to provision of respectful maternity care in Zambia: results from a qualitative study through the lens of behavioral science

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jana Smith ◽  
Rachel Banay ◽  
Emily Zimmerman ◽  
Vivien Caetano ◽  
Maurice Musheke ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Maternity Care ◽  
Design Methodology ◽  
Behavioral Science ◽  
Respectful Maternity Care ◽  
Disrespect And Abuse ◽  
Disrespectful Care ◽  
Behavioral Design ◽  
Behavioral Barriers ◽  
Respectful Care

Abstract Background Recently, a growing body of literature has established that disrespect and abuse during delivery is prevalent around the world. This complex issue has not been well studied through the lens of behavioral science, which could shed light on the psychological dimensions of health worker behavior and how their micro-level context may be triggering abuse. Our research focuses on the behavioral drivers of disrespect and abuse in Zambia to develop solutions with health workers and women that improve the experience of care during delivery. Methods A qualitative study based on the behavioral design methodology was conducted in Chipata District, Eastern Province. Study participants included postpartum women, providers (staff who attend deliveries), supervisors and mentors, health volunteers, and birth companions. Observations were conducted of client-provider interactions on labor wards at two urban health centers and a district hospital. In-depth interviews were audio recorded and English interpretation from these recordings was transcribed verbatim. Data was analyzed using thematic analysis and findings were synthesized following the behavioral design methodology. Results Five key behavioral barriers were identified: 1) providers do not consider the decision to provide respectful care because they believe they are doing what they are expected to do, 2) providers do not consider the decision to provide respectful care explicitly since abuse and violence are normalized and therefore the default, 3) providers may decide that the costs of providing respectful care outweigh the gains, 4) providers believe they do not need to provide respectful care, and 5) providers may change their mind about the quality of care they will provide when they believe that disrespectful care will assist their clinical objectives. We identified features of providers’ context – the environment in which they live and work, and their past experiences – which contribute to each barrier, including supervisory systems, visual cues, social constructs, clinical processes, and other features. Conclusions Client experience of disrespectful care during labor and delivery in Chipata, Zambia is prevalent. Providers experience several behavioral barriers to providing respectful maternity care. Each of these barriers is triggered by one or more addressable features in a provider’s environment. By applying the behavioral design methodology to the challenge of respectful maternity care, we have identified specific and concrete contextual cues that targeted solutions could address in order to facilitate respectful maternity care.

scholarly journals The culture of hope and ethical challenges in clinical trials: A qualitative study of oncologists and haematologists’ views

2019 ◽  
Vol 15 (1) ◽  
pp. 29-38 ◽  
Author(s):  
Tove E Godskesen ◽  
Suzanne Petri ◽  
Stefan Eriksson ◽  
Arja Halkoaho ◽  
Margrete Mangset ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Trials ◽  
Qualitative Study ◽  
Empirical Research ◽  
Health Care Professionals ◽  
Therapeutic Misconception ◽  
Ethical Challenges ◽  
Know How ◽  
Ethical Concerns ◽  
Clinical Cancer

We do not know how much clinical physicians carrying out clinical trials in oncology and haematology struggle with ethical concerns. To our knowledge, no empirical research exists on these questions in a Nordic context. Therefore, this study aims to learn what kinds of ethical challenges physicians in Sweden, Denmark and Finland (n = 29) face when caring for patients in clinical trials; and what strategies, if any, they have developed to deal with them. The main findings were that clinical cancer trials pose ethical challenges related to autonomy issues, unreasonable hope for benefits and the therapeutic misconception. Nevertheless, some physicians expressed that struggling with such challenges was not of great concern. This conveys a culture of hope where health care professionals and patients uphold hope and mutually support belief in clinical trials. This culture being implicit, physicians need opportunities to deliberately reflect over the characteristics that should constitute this culture.

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