scholarly journals mHealth and Engagement Concerning Persons With Chronic Somatic Health Conditions: Integrative Literature Review

10.2196/14315 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e14315
Author(s):  
Hanna Tuvesson ◽  
Sara Eriksén ◽  
Cecilia Fagerström
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Health Care Professionals ◽  
Health Management ◽  
Health Conditions ◽  
Knowledge Gain ◽  
Global Public Health ◽  
Somatic Health ◽  
Emotional Aspects ◽  
Critical Appraisal Skills

Background Chronic somatic health conditions are a global public health challenge. Being engaged in one’s own health management for such conditions is important, and mobile health (mHealth) solutions are often suggested as key to promoting engagement. Objective The aim of this study was to review, critically appraise, and synthesize the available research regarding engagement through mHealth for persons with chronic somatic health conditions. Methods An integrative literature review was conducted. The PubMed, CINAHL, and Inspec databases were used for literature searches. Quality assessment was done with the guidance of Critical Appraisal Skills Programme (CASP) checklists. We used a self-designed study protocol comprising 4 engagement aspects—cognitive, behavioral and emotional, interactional, and the usage of mHealth—as part of the synthesis and analysis. Results A total of 44 articles met the inclusion criteria and were included in the analysis. mHealth usage was the most commonly occurring engagement aspect, behavioral and emotional aspects the second, cognitive aspects the third, and interactional aspects of engagement the least common aspect in the included articles. The results showed that there is a mix of enablers and barriers to engagement in relation to the 4 engagement aspects. The perceived meaningfulness and need for the solution and its content were important to create and maintain engagement. When perceived as meaningful, suitable, and usable, mHealth can support knowledge gain and learning, facilitate emotional and behavioral aspects such as a sense of confidence, and improve interactions and communications with health care professionals. Conclusions mHealth solutions have the potential to support health care engagement for persons with chronic somatic conditions. More research is needed to further understand how, by which means, when, and among whom mHealth could further improve engagement for this population.

scholarly journals mHealth and Engagement Concerning Persons With Chronic Somatic Health Conditions: Integrative Literature Review (Preprint)

2019 ◽  
Author(s):  
Hanna Tuvesson ◽  
Sara Eriksén ◽  
Cecilia Fagerström
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Health Care Professionals ◽  
Health Management ◽  
Health Conditions ◽  
Knowledge Gain ◽  
Global Public Health ◽  
Somatic Health ◽  
Emotional Aspects ◽  
Critical Appraisal Skills

BACKGROUND Chronic somatic health conditions are a global public health challenge. Being engaged in one’s own health management for such conditions is important, and mobile health (mHealth) solutions are often suggested as key to promoting engagement. OBJECTIVE The aim of this study was to review, critically appraise, and synthesize the available research regarding engagement through mHealth for persons with chronic somatic health conditions. METHODS An integrative literature review was conducted. The PubMed, CINAHL, and Inspec databases were used for literature searches. Quality assessment was done with the guidance of Critical Appraisal Skills Programme (CASP) checklists. We used a self-designed study protocol comprising 4 engagement aspects—cognitive, behavioral and emotional, interactional, and the usage of mHealth—as part of the synthesis and analysis. RESULTS A total of 44 articles met the inclusion criteria and were included in the analysis. mHealth usage was the most commonly occurring engagement aspect, behavioral and emotional aspects the second, cognitive aspects the third, and interactional aspects of engagement the least common aspect in the included articles. The results showed that there is a mix of enablers and barriers to engagement in relation to the 4 engagement aspects. The perceived meaningfulness and need for the solution and its content were important to create and maintain engagement. When perceived as meaningful, suitable, and usable, mHealth can support knowledge gain and learning, facilitate emotional and behavioral aspects such as a sense of confidence, and improve interactions and communications with health care professionals. CONCLUSIONS mHealth solutions have the potential to support health care engagement for persons with chronic somatic conditions. More research is needed to further understand how, by which means, when, and among whom mHealth could further improve engagement for this population.

Effectiveness of Addiction Science Presentations to Treatment Professionals, Using a Modified Solomon Study Design

2003 ◽  
Vol 33 (2) ◽  
pp. 197-216 ◽  
Author(s):  
Carlton K. Erickson ◽  
Richard E. Wilcox ◽  
Gary W. Miller ◽  
John H. Littlefield ◽  
Kenneth A. Lawson
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Instructional Effectiveness ◽  
Control Group ◽  
Knowledge Gain ◽  
Academic Researchers ◽  
Knowledge Gains ◽  
Changing Knowledge ◽  
Belief Changes ◽  
Retention Of Knowledge

Objectives: Knowledge of addiction research findings is critical for healthcare professionals who treat addicted patients. However, there is little information available about the instructional effectiveness of lecture-slide presentations in changing knowledge vs. beliefs of such professionals. Design: A modified Solomon four-group experimental design was used to assess the instructional effectiveness (knowledge gain vs. belief changes) of threehour addiction science workshops presented to health-care professionals by neurobiologically-trained academic researchers. Effectiveness of the workshops was assessed by a 28-item questionnaire on participant versus control group knowledge/beliefs on addiction. Six-month follow-up questionnaires measured “retention” of knowledge and belief changes. Results: The workshop participants showed significant knowledge gain and belief changes, whereas the two control groups showed no change in knowledge or beliefs. After six months, knowledge gains decreased, but were still higher than pre-test scores. In contrast, belief changes on three subscales persisted over six months in 40 to 52 percent of the subjects. Conclusions: These results illustrate a successful continuing education model by which academic researchers who are skilled teachers present a three-hour lecture-slide workshop with extensive question-and-answer sessions on addictions. We conclude that motivated health-care professionals can experience important knowledge gains and belief changes by participating in such workshops. In contrast to the transient retention of knowledge, belief changes persisted surprisingly well for at least six months in about half the subjects. These results suggest that long-term changes in the professional orientation of these health-care workers are possible.

scholarly journals Travel, Pilgrimage and Health Hazards

JMS SKIMS ◽  
2012 ◽  
Vol 15 (2) ◽  
pp. 87-90
Author(s):  
Shariq Rashid Masoodi
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
The Elderly ◽  
Health Hazards ◽  
Health Conditions ◽  
Anticipatory Guidance ◽  
Health Issues ◽  
Preventative Measures ◽  
Safety And Health ◽  
Potential Risks

Today more people are travelling than ever before. Travel uWith more people travelling, health care professionals should become more familiar with some of the unique health issues associated with travel and pilgrimage.Travel has some unique safety and health issues, especially for the young and the elderly. Physicians need to be aware of the health issues related to travelling, identify people at risk for health problems during travel, and provide appropriate anticipatory guidance. Many guidelines have been developed to help inform physicians about some of the health issues of people travelling. These guidelines are to provide information on the risks of travel to people, determine which pre-existing health conditions may be complicated by a particular mode of travel, and offer preventative measures that can minimize potential risks to people during the travel. sed to be a leisure which could only be afforded by a few.... JMS 2012;15(2):87-90

scholarly journals An integrative review on patient inflicted violence among mental health nurses

2018 ◽  
Vol 7 (1) ◽  
pp. 62
Author(s):  
Mohammed Hamdan Alshammari
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Workplace Violence ◽  
Health Care Professionals ◽  
Physical Violence ◽  
Well Being ◽  
Integrative Review ◽  
Public Health Issue ◽  
Global Public Health ◽  
Mental Health Nurses

Workplace violence can be in the form of aggression, harassment or simply physical infliction of harm towards nurses. It can arise from many sources but primarily they are patient inflicted violence in different forms. It can be a physical violence, emotional or a combination of both. Incidence of violence towards health care professionals is a recognized global public health issue. Previous studies have already suggested that health care professionals, particularly nurses, have a higher risk of experiencing workplace violence than other professionals. This integrative review looked into the violence where patients are the primary source, as well as the types and impact of violence amongst psychiatric mental health nurses happening worldwide. Further, it looked into the nurses’ road to recovery from the experience of violence and what hospitals and facilities are advocating in stopping these events or at least minimizing the frequency of such acts. Published studies considered in this review found that nurses’ experienced physical pain, fear, anxiety, frustration, distress, resentment, apathy, job dissatisfaction and anger following the violent incident. Nurses after their exposure to a series of violence from their patients’ experience dramatic changes in their well-being.

Computer-Based Case Simulations for Assessment in Health Care: A Literature Review of Validity Evidence

2017 ◽  
Vol 42 (1) ◽  
pp. 82-102 ◽  
Author(s):  
Robyn C. Ward ◽  
Timothy J. Muckle ◽  
Michael J. Kremer ◽  
Mary Anne Krogh
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Literature Review ◽  
Health Care Professionals ◽  
Assessment Tool ◽  
Replication Studies ◽  
Clinical Scenarios ◽  
Computer Based ◽  
Assessment Of Competence ◽  
Psychometric Evidence

Simulation for education and training in health-care professions has been widely applied. However, its value as an assessment tool for competence is not fully known. Logistical barriers of simulation-based assessments have led some health-care organizations to utilize computer-based case simulations (CCSs) for assessment. This article provides a review of the literature on the identification of psychometrically sound, CCS instruments designed to measure decision-making competence in health-care professionals. CINAHL, MEDLINE, and Ovid databases identified 84 potentially relevant articles published between January 2000 and May 2017. A total of 12 articles met criteria for inclusion in this review. Findings of these 12 articles indicate that summative assessment in health care using CCSs in the form of clinical scenarios is utilized to assess higher order performance aspects of competence in the form of decision-making. Psychometric strength was validated in eight articles and supported by four replication studies. Two of the eight articles reported evidence of construct validity and support the need for evidence based on a theoretical framework. This literature review offers implications for further research on the use of CCS tools as a method for assessment of competence in health-care professionals and the need for psychometric evidence to support it.

Empirical exploration of brilliance in health care: perceptions of health professionals

2017 ◽  
Vol 41 (3) ◽  
pp. 336 ◽  
Author(s):  
Leila Karimi ◽  
Ann Dadich ◽  
Liz Fulop ◽  
Sandra G. Leggat ◽  
Jiri Rada ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Management Practices ◽  
Health Management ◽  
Care Delivery ◽  
Lessons Learned ◽  
Lexical Analysis ◽  
Professional Perspective

Objective The aim of the present study was to develop a positive organisational scholarship in health care approach to health management, informed by health managers and health professionals’ experiences of brilliance in health care delivery. Methods A sample of postgraduate students with professional and/or management experience within a health service was invited to share their experiences of brilliant health services via online discussions and a survey running on the SurveyMonkey platform. A lexical analysis of student contributions was conducted using the individual as the unit of analysis. Results Using lexical analysis, the examination of themes in the concept map, the relationships between themes and the relationships between concepts identified ‘care’ as the most important concept in recognising brilliance in health care, followed by the concepts of ‘staff’ and ‘patient’. Conclusions The research presents empirical material to support the emergence of an evidence-based health professional perspective of brilliance in health management. The findings support other studies that have drawn on both quantitative and qualitative materials to explore brilliance in health care. Pockets of brilliance have been previously identified as catalysts for changing health care systems. Both quality, seen as driven from the outside, and excellence, driven from within individuals, are necessary to produce brilliance. What is known about the topic? The quest for brilliance in health care is not easy but essential to reinvigorating and energising health professionals to pursue the highest possible standards of health care delivery. What does this paper add? Using an innovative methodology, the present study identified the key drivers that health care professionals believe are vital to moving in the direction of identifying brilliant performance. What are the implications for practitioners? This work presents evidence on the perceptions of leadership and management practices associated with brilliant health management. Lessons learned from exceptionally well-delivered services contain different templates for change than those dealing with failures, errors, misconduct and the resulting negativity.

Heparin Locking for Central Venous Catheters

2006 ◽  
Vol 11 (4) ◽  
pp. 224-231 ◽  
Author(s):  
Lynn Hadaway
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Health Care Professionals ◽  
New Technology ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Lock Solution ◽  
Continued Use ◽  
Careful Assessment ◽  
Heparin Lock

Abstract Traditionally, heparin-lock solution has been used with all central venous catheters. The introduction of new technology calling for the elimination of heparin and the growing concerns about the use of heparin have caused many health care professionals to question its continued use for this purpose. This literature review attempts to answer the most common questions using available research; however, there continues to be more questions than answers. At present, it appears that some farm of anticoagulant will produce more patent catheters, and heparin-lock solution is the only product commercially available. This situation drives the need for a careful assessment of patients' needs prior to abandoning the use of heparin.

scholarly journals Communication and support from health-care professionals to families, with dependent children, following the diagnosis of parental life-limiting illness: A systematic review

2016 ◽  
Vol 31 (3) ◽  
pp. 212-222 ◽  
Author(s):  
Rachel Fearnley ◽  
Jason W. Boland
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Literature Review ◽  
Emotional Support ◽  
Health Care Professionals ◽  
Data Sources ◽  
Narrative Synthesis ◽  
Inclusion Criteria ◽  
Dependent Children ◽  
Insufficient Time

Background: Communication between parents and their children about parental life-limiting illness is stressful. Parents want support from health-care professionals; however, the extent of this support is not known. Awareness of family’s needs would help ensure appropriate support. Aim: To find the current literature exploring (1) how parents with a life-limiting illness, who have dependent children, perceive health-care professionals’ communication with them about the illness, diagnosis and treatments, including how social, practical and emotional support is offered to them and (2) how this contributes to the parents’ feelings of supporting their children. Design: A systematic literature review and narrative synthesis. Data sources: Embase, MEDLINE, PsycINFO, CINAHL and ASSIA ProQuest were searched in November 2015 for studies assessing communication between health-care professionals and parents about how to talk with their children about the parent’s illness. Results: There were 1342 records identified, five qualitative studies met the inclusion criteria (55 ill parents, 11 spouses/carers, 26 children and 16 health-care professionals). Parents wanted information from health-care professionals about how to talk to their children about the illness; this was not routinely offered. Children also want to talk with a health-care professional about their parents’ illness. Health-care professionals are concerned that conversations with parents and their children will be too difficult and time-consuming. Conclusion: Parents with a life-limiting illness want support from their health-care professionals about how to communicate with their children about the illness. Their children look to health-care professionals for information about their parent’s illness. Health-care professionals, have an important role but appear reluctant to address these concerns because of fears of insufficient time and expertise.

scholarly journals Knowledge, attitude and preventive practices regarding tuberculosis care and control among health care professionals at TB centres: implications for TB control efforts

2020 ◽  
Vol 7 (6) ◽  
pp. 2318
Author(s):  
K. M. Jaiswal ◽  
Lohit S. Vaishnao ◽  
Sujata Dudhgaonkar ◽  
Latesh Raghte ◽  
Mahek S. Kewalramani ◽  
...  
Keyword(s):  
Health Care ◽  
Traditional Medicine ◽  
Health Care Professionals ◽  
World Health ◽  
Average Score ◽  
Global Public Health ◽  
Attitudes And Practices ◽  
Preventive Practices ◽  
Paramedical Staff ◽  
And Control

Background: Tuberculosis (TB) ranks as the leading cause of death from infectious disease. The World Health Organization (WHO) has considered TB a global public health disaster since 1993. Four factors affect non-adherence to treatment-the patient, healthcare systems, pharmaco-therapeutics and the key persons, health care professional (HCP). So, the study was conducted to evaluate knowledge, attitudes and practices regarding TB care and control in HCPs working in TB units.Methods: This was a cross-sectional, observational, questionnaire-based study conducted in all the HCPs working for the TB care and control.Results: The responses to the questions of knowledge were variable indicating incompleteness of information, facts, understanding related to TB in HCPs. HCPs show very strong positive attitude for finding every new case of TB is essential. The HCPs disagree to some statements like traditional or alternative medicine assists in wellbeing of TB patients. Practice competency was low with average score 2.32 out of 6, doctors having higher score of 4.62 followed by nurses, lab-technicians, pharmacist and activist with score of 2.57, 1.66, 1.5, 1.25 respectively.  The activist are the key persons in the national tuberculosis program, exhibited the least score in this study indicates they do not have much orientation about the practice of TB treatment. Specific deficiencies existed for some knowledge statements of HCWs on TB. There was disagreement in attitudes regarding stigma and traditional medicine, and practice competencies were poor. Improvement in aspect of KAP of HCPs on TB will help India achieve the goal of End TB.Conclusions: Specific deficiencies existed for some knowledge statements of TB in paramedical staff as compared to doctor participants. There was disagreement in attitudes regarding stigma and traditional medicine, and practice competencies were poor in activists. Improvement in knowledge, attitude and practices of TB in paramedical staff by conducting CME, Workshop, training sessions will help India to achieve the goal of End TB.

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