scholarly journals Facilitators and Barriers of Physical Activity in Prevention and Control of NCD – A Qualitative Study in North India

2019 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Prevention And Control ◽  
North India ◽  
Facilitators And Barriers ◽  
And Control

scholarly journals 753 Facilitators and barriers in adherence to infection prevention and control recommendations among healthcare providers in cardiac settings

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Oronzo Chialà ◽  
Ludovica Chiaretti ◽  
Antonio Ruggiero ◽  
Angelica Carnevale ◽  
Jacopo Fiorini ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Fundamental Aspect ◽  
Infection Prevention And Control ◽  
Care Providers ◽  
Mortality And Morbidity ◽  
Facilitators And Barriers ◽  
And Control

Abstract Aims The infection prevention and control (IPC) represents a global issue. In cardiac settings, it is a fundamental aspect, mostly in interventional procedures (PMK and valves implantation, angiography procedures), even if with different levels of incidence, mortality, and morbidity. Different guidelines and recommendations have been published to reduce complications related to cardiac procedures infections. Although there are several recommendations, the presence of specific protocols and the adherence to them in medical treatment facilities are controversial. The aim is to identify facilitators and barriers to IPC guidelines in health care providers of cardiac settings. Methods and results The research will be conducted in three phases: (1) an integrative review, to identify the main IPC recommendations related to the most common invasive procedures in cardiac interventional settings and the most cited facilitator and barriers; (2) the information collected by the review will help to conduct an explorative survey, involving health care providers from cardiac settings, to better understand what are the most helpful facilitators and the hardest barriers to face; and (3) a qualitative study, using explorative interviews will be held to analyze the experiences of health care providers in their professional action. Conclusions Generally, the adherence to IPC recommendations results difficult and time-consuming. For example, even if healthcare workers may value the use of IPC guidelines, such as wearing PPE, these are not always available, adequate for purpose, or comfortable. Identifying which factors could be considered facilitators or barriers will help authorities and healthcare facilities in developing effective strategies to support health care providers to undertake IPC measures.

Engaging village health workers in non-communicable disease (NCD) prevention and control in Vietnam: A qualitative study

2019 ◽  
Vol 15 (4) ◽  
pp. 611-625 ◽  
Author(s):  
Hongfei Long ◽  
Zhenyu Ma ◽  
Tran Thi Duc Hanh ◽  
Hoang Van Minh ◽  
Lal B. Rawal ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Prevention And Control ◽  
Health Workers ◽  
Communicable Disease ◽  
Village Health Workers ◽  
And Control ◽  
Village Health ◽  
Non Communicable Disease

scholarly journals ATIVIDADE FÍSICA, MANUTENÇÃO DA CAPACIDADE FUNCIONAL E DA AUTONOMIA EM IDOSOS: REVISÃO DE LITERATURA E INTERFACES DO CUIDADO

2011 ◽  
Vol 16 (1) ◽  
Author(s):  
Solange Convento Silveira ◽  
Ana Cristina Mancussi e Faro ◽  
Claudia Lysia Araújo Oliveira
Keyword(s):  
Physical Activity ◽  
Functional Capacity ◽  
Exploratory Study ◽  
Prevention And Control ◽  
Sedentary Lifestyle ◽  
The Elderly ◽  
The Body ◽  
Production Of Knowledge ◽  
And Control ◽  
Physical Activity Maintenance

A capacidade funcional dos sistemas do organismo diminui gradualmente desde a juventude favorecendo a ocorrência de doenças crônicas, quedas e diminuição da capacidade funcional. O sedentarismo contribui significativamente na aceleração do ritmo do declínio, de modo que a eficácia da prática de atividade física na prevenção e controle dessas condições vem sendo progressivamente estudada. O objetivo deste estudo foi conhecer a produção do conhecimento, na forma de artigo, voltada para a manutenção da capacidade funcional e da autonomia em idosos por meio da atividade física, discutindo sobre as abordagens propostas para essa finalidade. Através de estudo exploratório, foi realizada uma revisão no período entre 2004 e 2008, das bases de dados Medline, Pubmed, Lilacs, Cinahal e Scielo, de onde foram selecionados artigos que verificaram as varia  das abordagens propostas em programas de atividade física. Os artigos demonstraram, em sua maioria, os benefícios da atividade física regular e adaptada aos diversos momentos e condições do idoso, na manutenção da capacidade funcional e da autonomia em idosos, confirmando inclusive a importância do incentivo à prática de atividade física em qualquer idade e principalmente ao idoso, dentro de suas amplas possibilidades e contextos.   PHYSICAL ACTIVITY, MAINTENANCE OF FUNCTIONAL CAPACITY AND AUTONOMY: LITERATURE REVIEW AND INTERFACES  OF CARE abstract The functional capacity of the body systems gradually decreases since the youth, favoring the occurrence of chronic diseases, falls and decreased functional capacity. The sedentary lifestyle contributes significantly in accelerating the pace of decline, so that the effectiveness of physical activity in the prevention and control of these conditions has been increasingly studied. The aim of this study was to know about the production of knowledge, in the form of articles, devoted to the maintenance of functional capacity and autonomy in older people through physical activity, discussing on the approaches proposed for this purpose. Through a exploratory study, a review was conducted in the period between 2004 and 2008, on the databases Medline, Pubmed, Lilacs, and Scielo Cinahal, from where were selected articles that were found in the various approaches proposed programs of physical activity. Most of the articles demonstrated the benefits of regular physical activity and adapted to different times and conditions of the elderly, the maintenance of functional capa  city and autonomy in the elderly, inclusively confirming the impor  tance of fostering physical activity at any age and especially for the elderly, within their broad scope and contexts.  

scholarly journals What is Needed to Sustain Improvements in Hospital Practices Post-COVID-19? A Qualitative Study of Interprofessional Dissonance in Hospital Infection Prevention and Control

2021 ◽  
Author(s):  
Gwendolyn L Gilbert ◽  
Ian Kerridge
Keyword(s):  
Qualitative Study ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Hospital Infection ◽  
Ethical Framework ◽  
Infection Prevention And Control ◽  
Routine Practice ◽  
Attitudes And Practices ◽  
And Control ◽  
Doctors And Nurses

Abstract BackgroundHospital infection prevention and control (IPC) depends on consistent practice to achieve its purpose. Standard precautions are embedded in modern healthcare policies, but not uniformly observed by all clinicians. Well-documented differences in attitudes to IPC, between doctors and nurses, contribute to suboptimal IPC practices and persistence of preventable healthcare-associated infections. The COVID-19 pandemic has seriously affected healthcare professionals’ work-practices, lives and health and increased awareness and observance of IPC. Successful transition of health services to a ‘post-COVID-19’ future, will depend on sustainable integration of lessons learnt into routine practice. MethodsThe aim of this pre-COVID-19 qualitative study was to investigate factors influencing doctors’ IPC attitudes and practices, whether they differ from those of nurses and, if so, how this affects interprofessional relationships. We hypothesised that better understanding would guide new strategies to achieve more effective IPC. We interviewed 26 senior clinicians (16 doctors and 10 nurses) from a range of specialties, at a large Australian tertiary hospital. Interview transcripts were reviewed iteratively, and themes identified inductively, using reflexive thematic analysis. ResultsParticipants from both professions painted clichéd portraits of ‘typical’ doctors and nurses and recounted unflattering anecdotes of their IPC behaviours. Doctors were described as self-directed and often unaware or disdainful of IPC rules; while nurses were portrayed as slavishly following rules, ostensibly to protect patients, irrespective of risk or evidence. Many participants believed that doctors object to being reminded of IPC requirements by nurses, despite many senior doctors having limited knowledge of correct IPC practice. Overall, participants’ comments suggested that the ‘doctor-nurse game’ - described in the 1960s, to exemplify the complex power disparity between professions - is still in play, despite changes in both professions, in the interim.Conclusions The results suggest that interprofessional differences and inconsistencies constrain IPC practice improvement. IPC inconsistencies and failures can be catastrophic, but the common threat of COVID-19 has promoted focus and unity. Appropriate implementation of IPC policies should be context-specific and respect the needs and expertise of all stakeholders. We propose an ethical framework to guide interprofessional collaboration in establishing a path towards sustained improvements in IPC and bio-preparedness.

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