Exploring Psychosocial Determinants of Diversity Sensitive Task Perception and Behavioural Intentions in a Health Care Student Population: Recommendations for Diversity Education in Health Care

2021 ◽  
Author(s):  
Laura Van Raemdonck ◽  
Stijn Schelfhout ◽  
Wendelien Vantieghem ◽  
Riya George ◽  
Stéphanie De Maesschalck ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Student Population ◽  
Diversity Education ◽  
Care Providers ◽  
Psychosocial Determinants ◽  
Health Care Students ◽  
Behavioural Intentions ◽  
Task Perception ◽  
The Relationship

Abstract Background: Diversity sensitive task perception and diversity sensitive behavioural intentions are strong predictors of diversity sensitive care. Nevertheless, it has been less clear which psychosocial determinants are affecting these concepts in health care providers. This article also explores whether there are differences in relationships between these concepts, and how these concepts are interrelated. The study focussed on the following psychosocial determinants: (a) ethnocentric attitudes and (b) intercultural capabilities. The latter concept is drawn from the four-dimensional construct of intercultural intelligence. Methods: A survey was conducted in a health care student population (N = 364). In addition to classic survey questions, behavioural intentions were measured through the use of eight vignettes comprising situations characterised by diversity in health care. Results: Regression analyses show that ethnocentric attitudes were negatively associated with diversity sensitive task perception and behavioural intentions. Interestingly, we found no significant relationship between cognitive intercultural capabilities (IC) and diversity sensitivity. Motivational- and behavioural intercultural capabilities were significantly associated with diversity sensitive task perception and behavioural intentions. Motivational IC had a stronger relationship with task perception. Behavioural IC had a stronger relationship with behavioural intentions. Adding diversity sensitive task perception in a supplementary regression model as an independent variable on behavioural intentions caused a shift in associations. The significant association between motivational IC and behavioural intentions disappeared, and a significant association between diversity sensitive task perception and diversity sensitive behavioural intention appeared. Conclusion: Diversity education should increasingly focus on diminishing ethnocentric attitudes and encouraging behavioural IC and motivational IC in health care students. The paper also suggests two theoretical hypothesises. Firstly, metacognitive IC is a concept strongly related to two IC: motivational IC and behavioural IC. Secondly, the relationship between motivational IC and behavioural intentions is fully mediated by diversity sensitive task perception. Further research that substantiate these theoretical hypothesises is recommended.

scholarly journals Ambiguous Signaling in Regulatory Conversations How Miscommunication and Hierarchy Hamper Voluntary Regulatee Cooperation

2021 ◽  
pp. 009539972110478
Author(s):  
Aute Kasdorp ◽  
Leonie Schakel
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Management Practices ◽  
Organizational Management ◽  
Care Providers ◽  
Relationship Types ◽  
Central Characteristic ◽  
The Relationship ◽  
Voluntary Cooperation

This case study investigates interactions between inspectors and regulatee representatives during regulatory conversations. We study how health care inspectors pursue voluntary cooperation from internal supervisors of health care providers to alter organizational management practices. We identify ambiguity as a central characteristic of the regulatory conversations. We observe several discrepancies as inspectors display hierarchical behavior incongruent with the horizontal relationship they aim for—and incongruent with the relationship style that internal supervisors expect. Analyzing these discrepancies in terms of relationship types and associated relational signals helps explain and prevent suboptimal communication and reduced acceptance of regulators’ demands by regulatees.

Sodium Knowledge, Beliefs, and Behaviors in Patients on Chronic Hemodialysis

2019 ◽  
Vol 49 (1-2) ◽  
pp. 25-32
Author(s):  
Zorica Kauric-Klein
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Health Care Providers ◽  
Salt Intake ◽  
Sodium Intake ◽  
Chronic Hemodialysis ◽  
Care Providers ◽  
And Behaviors ◽  
The Relationship ◽  
Total Sodium

Introduction: There is a clear relationship between sodium intake and blood pressure in patients on chronic hemodialysis (HEMO). To date, there are few studies that assess sodium knowledge, beliefs, and behaviors in patients on chronic HEMO. The purpose of this research study was to determine sodium knowledge, beliefs and behaviors in patients on chronic HEMO. Methods: A descriptive correlational study was conducted using an investigator developed online sodium knowledge, beliefs, and behaviors survey. Participants were recruited via nephrology social media websites. Findings: One hundred and fourteen participants completed the survey, the majority of participants (n = 39, 34.2%) were between the ages of 36 and 50 years, 55.3% (n = 63) were female, and 70% (n = 80) were white. Fifty-four participants (47%) could not identify their recommended salt intake limit. Participants answered an average of 4 out of 7 questions pertaining to sodium knowledge correctly (SD 1.5). Increased age was associated with total sodium knowledge (r = 0.33, p= 0.01) and length of time on HEMO was related to total sodium knowledge (r = –0.20, p = 0.04). In terms of beliefs, 38% (n = 44) were unsure or did not believe that salt intake was related to blood pressure and 30% (n = 33) did not feel it was related to fluid gains. Forty-two participants (37%) responded that they were not informed by a health care provider to cut down their salt intake. Discussion: Knowledge about sodium levels is lacking in patients on chronic HEMO. Patients may be more likely to decrease their sodium intake if they know their recommended sodium levels. Health care providers are not doing enough to educate patients on the need to decrease sodium intake and reinforce the relationship between sodium intake, fluid gains, and blood pressure. Findings from this study are useful to help develop educational programs to target these knowledge needs.

scholarly journals “No Alcohol Is Recommended, But . . .”: Health Care Students’ Attitudes About Alcohol Consumption During Pregnancy

2017 ◽  
Vol 4 ◽  
pp. 233339361770766 ◽  
Author(s):  
Kelly D. Coons ◽  
Shelley L. Watson ◽  
Nicole M. Yantzi ◽  
Nancy E. Lightfoot ◽  
Sylvie Larocque
Keyword(s):  
Health Care ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Alcohol Exposure ◽  
Care Providers ◽  
Potential Health ◽  
Health Care Students ◽  
Students Attitudes

Canadian findings suggest that health care providers require further training and education to support their work preventing fetal alcohol spectrum disorder (FASD). However, the knowledge and training of health care students in relation to FASD remains largely unexplored. The purpose of this study was to understand the attitudes and beliefs of health care students about alcohol use during pregnancy. Twenty-one health care students participated in a scenario-based vignette about alcohol consumption during pregnancy. Although almost all students recognized that no alcohol consumption during pregnancy is the safest recommendation, many students recounted that this advice is not always conveyed during encounters with their pregnant patients. Three primary themes related to students’ attitudes concerning alcohol use during pregnancy were identified. Health care professionals in training need further education about the risks of alcohol consumption during pregnancy and the potential health outcomes associated with prenatal alcohol exposure.

scholarly journals Students' Nutrition Literacy and the Existence of Health Care Providers in Iranian Schools

2020 ◽  
Vol 20 (2) ◽  
pp. e00476-e00476
Author(s):  
Ahmad Mehri ◽  
Nasrin Jafari ◽  
Isa Akbarzadeh ◽  
Fatemeh Hadavand Siri ◽  
Nategh Abbassgholizadeh
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Demographic Questionnaire ◽  
Food And Nutrition ◽  
Northwestern Iran ◽  
Specialized Health Care ◽  
The Relationship

Background: The objective of this study was to investigate the relationship between Students' nutrition literacy and the existence of health care providers in Iranian schools. Study design: A cross-sectional study. Methods: This study was conducted on 504 students in Ardebil City, northwestern Iran from Oct 2017 to Jan 2018. The FLINT questionnaire was used to assessment the food and nutrition literacy. Socio-demographic characteristics and the existence of health care providers were collected using demographic questionnaire. Results: Nearly 75% of students had not a health care provider. Most students had a low FNLIT (62% males and 58.1% females). The probability of low FNLIT was lower in students with health care providers than those without them (OR=0.46, CI 95%; 0.10, 0.91). Conclusion: One of the reasons for the low nutritional literacy of students may be due to the lack of health care providers in schools. Health educational administrators employ specialized health care providers in Iranian schools.

Medicine, Spirituality, Religion, and Psychology

2017 ◽  
Author(s):  
Kelly M. Trevino ◽  
Kenneth I. Pargament
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Clinical Care ◽  
Large Body ◽  
Spiritual Needs ◽  
Care Providers ◽  
Religion And Psychology ◽  
And Coping ◽  
The Relationship

The current chapter examines the relationship between religion/spirituality (R/S) and medicine through the psychological lens of a religious coping framework. This relationship is considered at the theoretical, patient, caregiver, and care team levels. The R/S beliefs, practices, and coping strategies of patients, informal caregivers, and health care providers in the context of illness is then discussed. A large body of research demonstrates the important role of R/S in how patients and caregivers understand and cope with illness. Similarly, many health care providers view illness and their clinical care through a R/S lens and believe that attending to patients’ spiritual needs is part of their professional role. The chapter concludes with a brief review of psycho-spiritual interventions in medical populations.

scholarly journals Understanding physical literacy in the context of health: a rapid scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Katie Cornish ◽  
Gloria Fox ◽  
Trina Fyfe ◽  
Erica Koopmans ◽  
Anne Pousette ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Health Care Providers ◽  
Scoping Review ◽  
Health Indicators ◽  
Rapid Review ◽  
Original Research ◽  
Care Providers ◽  
Physical Literacy ◽  
The Relationship

Abstract Background Physical literacy is a multidimensional concept that describes a holistic foundation for physical activity engagement. Understanding the utilization and effectiveness of physical literacy in the context of health and the health care setting will support clinical and population health programming. The purpose of this rapid scoping review was to: 1) map the conceptualization of physical literacy as it relates to health; 2) identify and describe the utilization of physical literacy in the context of health and engagement of health care providers; and 3) better understand the relationship between physical literacy, physical activity, and health. Methods Following established scoping review methods adapted for a rapid review approach, we searched electronic databases Medline OVID, CINAHL Ebsco, PsycInfo Ebsco, Web of Science ISI, and ERIC Ebsco from conception until September 2019. Tabulation coding was used to identify the key themes across included articles and synthesize findings. The review follows an integrated knowledge translation approach based on a partnership between the health system, community organizations, and researchers. Results Following removal of duplicates, our search identified 475 articles for title and abstract screening. After full text review, 17 articles were included (12 original research papers and five conceptual or review papers). There was near consensus among included papers with 16 of 17 using the Whiteheadian definition of physical literacy. There was limited involvement of health care providers in the concept of physical literacy. Physical literacy was connected to the following health indicators: BMI and body weight, waist circumference, cardiorespiratory fitness, physical activity, and sedentary behaviour. The primary demographic focus of included studies was children and there was a conceptual focus on the physical domain of physical literacy. Conclusions Despite growing popularity, the empirical evidence base linking physical literacy and health outcomes is limited and the relationship remains theoretical. Physical literacy may present a novel and holistic framework for health-enhancing physical activity interventions that consider factors vital to sustained participation in physical activity across the life course. Future work should continue to explore the nature and direction of the relationship between physical activity and physical literacy to identify appropriate focused approaches for health promotion.

Introduction

2019 ◽  
pp. 1-8
Author(s):  
Andelka M Phillips ◽  
Thana C de Campos ◽  
Jonathan Herring
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Law ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Philosophical Foundations ◽  
New Consumer ◽  
The Relationship

This introductory chapter argues that the advent of personalized medicine, precision medicine, and new consumer-focused services—such as personal genomics—is changing the nature of the traditional doctor–patient relationship. If trust was the ethical value guiding the traditional doctor–patient relationship, now other considerations such as market efficiency are aggregated to the considerations of the relationship between the patient and the health-care provider. Also, if medical law traditionally focused on the regulation of the doctor–patient relationship, nowadays medical law also encompasses the regulation of institutional relationships involving health-care providers of different sorts and at various levels. Some new services also pose challenges for medical lawyers and ethicists, because they are not being offered within the traditional clinical setting and thus sit outside the traditional governance frameworks established in medical settings. The chapter then provides an overview of the general theories on the philosophical foundations of medical law.

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