scholarly journals Pre-consultation information about one’s physician can affect trust and treatment outcome expectations

2020 ◽  
Author(s):  
Kaya Peerdeman ◽  
Chris Hinnen ◽  
Liesbeth van Vliet ◽  
Andrea W.M. Evers
Keyword(s):  
Treatment Outcome ◽  
Healthcare Providers ◽  
Outcome Expectations ◽  
Hospital Staff ◽  
Online Information ◽  
Web Based ◽  
High Severity ◽  
High Competence ◽  
Study Participants ◽  
The Impact

Objective: Information about physicians’ skills is increasingly available on the internet and consulted by patients. The impact of such information on patient expectations is largely unknown. The aim of the present study was to investigate whether pre-consultation information about the competence and empathic skills of a physician may impact pre-consultation trust and treatment outcome expectations in mild and severe medical conditions.Methods: In this experimental web-based study, participants (n=237) read vignettes describing competence and empathic skills (low versus high) of a fictive physician who would surgically remove a mole or melanoma (low versus high severity). Participants next rated trust in the physician and treatment outcome expectations.Results: High physician’s competence and empathy raised pre-consultation trust in the physician, regardless of condition severity. Both high competence and empathy also increased expected surgery success, while only high competence reduced expected side effects.Conclusion: Pre-consultation information highlighting a physician’s competence and/or empathy may lead to higher trust in that physician, higher expected surgery success, and lower expected side effects. Practice Implications: Physicians and hospital staff should be aware of the effects of online information available and might, for example, provide profiles on hospital websites emphasizing competence and empathy of healthcare providers.

scholarly journals RECRUITMENT INTO THE ALZHEIMER PREVENTION TRIALS (APT) WEBSTUDY FOR A TRIAL-READY COHORT FOR PRECLINICAL AND PRODROMAL ALZHEIMER’S DISEASE (TRCPAD)

2020 ◽  
pp. 1-7
Author(s):  
S. Walter ◽  
T.B. Clanton ◽  
O.G. Langford ◽  
M.S. Rafii ◽  
E.J. Shaffer ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Effective Means ◽  
Web Based ◽  
The Us ◽  
Study Team ◽  
Prodromal Alzheimer’S Disease ◽  
Prevention Trials ◽  
Study Participants ◽  
The Impact

BACKGROUND: The Alzheimer Prevention Trials (APT) Webstudy is the first stage in establishing a Trial-ready Cohort for Preclinical and Prodromal Alzheimer’s disease (TRC-PAD). This paper describes recruitment approaches for the APT Webstudy. Objectives: To remotely enroll a cohort of individuals into a web-based longitudinal observational study. Participants are followed quarterly with brief cognitive and functional assessments, and referred to Sites for in-clinic testing and biomarker confirmation prior to enrolling in the Trial-ready Cohort (TRC). Design: Participants are referred to the APT Webstudy from existing registries of individuals interested in brain health and Alzheimer’s disease research, as well as through central and site recruitment efforts. The study team utilizes Urchin Tracking Modules (UTM) codes to better understand the impact of electronic recruitment methods. Setting: A remotely enrolled online study. Participants: Volunteers who are at least 50 years old and interested in Alzheimer’s research. Measurements: Demographics and recruitment source of participant where measured by UTM. Results: 30,650 participants consented to the APT Webstudy as of April 2020, with 69.7% resulting from referrals from online registries. Emails sent by the registry to participants were the most effective means of recruitment. Participants are distributed across the US, and the demographics of the APT Webstudy reflect the referral registries, with 73.1% female, 85.0% highly educated, and 92.5% Caucasian. Conclusions: We have demonstrated the feasibility of enrolling a remote web-based study utilizing existing registries as a primary referral source. The next priority of the study team is to engage in recruitment initiatives that will improve the diversity of the cohort, towards the goal of clinical trials that better represent the US population.

scholarly journals Information System Policy of Web-based Patient Safety Incident Reporting Information System at RSJ Prof Dr. Soerojo Magelang

2020 ◽  
Vol 5 (3) ◽  
Author(s):  
Setyo Purnomo ◽  
Aris Puji Widodo ◽  
Yuliani Setyaningsih
Keyword(s):  
Information System ◽  
Patient Safety ◽  
Healthcare Providers ◽  
Safety Data ◽  
Online Information ◽  
Web Based ◽  
Management Board ◽  
Root Cause ◽  
Safety Incident ◽  
Patient Safety Incident

Abstract. To provide security to their patients, healthcare providers use a system for patient safety which includes risk reporting and analysis of incidents, identification and management of risks, and the ability to learn about events that have occurred. According to the 2017 patient safety data at Prof. Dr. Soerojo Psychiatric Hospital, 7% of patient safety incidents at the hospital required a Root Cause Analysis. To aid the process, an online information system is necessary. This research was qualitative research that used the waterfall method for the information syntax. This involved planning, analysis, design, implementation, and system. From there, the data was then evaluated based on its accessibility, completeness, accuracy, and speed. The qualitative data was gathered through questionnaires, in-depth interviews, and unstructured interviews with selected informants. 26 informants were involved in this research, this included the reporters, the Patient Safety (KPRS) Team, and the hospital management board. Results of the would then produce recommendations on how to handle the problems found. Based on the data gathered, we discovered that after the application of the information system, the hospital experienced a 53.8% increase in patient safety.

scholarly journals Exploring accreditation from the front lines: A qualitative study of staff experiences & perceptions of hospital accreditation

2019 ◽  
Vol 8 (4) ◽  
pp. 24
Author(s):  
Katie N Dainty ◽  
Douglas Sinclair ◽  
Cathy O'Neill ◽  
Sherra Solway ◽  
Bianca Seaton
Keyword(s):  
Health Care Organizations ◽  
Tertiary Care ◽  
Hospital Staff ◽  
Research Literature ◽  
Accreditation Process ◽  
Hospital Accreditation ◽  
Qualitative Descriptive ◽  
Study Participants ◽  
Staff Experiences ◽  
The Impact

Objective: Relative to the global investment in hospital accreditation programs overall, both the total amount and methodological quality of existing accreditation research is mediocre. To address this apparent gap in knowledge, we undertook a study of the experiences and perspectives of hospital staff, those most underrepresented in the accreditation research literature, including those working on the front lines and non-leaders who may or may not have been directly involved in the preparation for the accreditation survey visit.Methods: Design: Qualitative descriptive interview study. Setting: Tertiary care teaching hospital in Toronto, Ontario Canada. Study Participants:  Program directors, unit managers, physicians, nurses, health discipline professionals (HDP), and non-clinical staff.Results: We have grouped what we heard from the data into three major groups of findings which we have titled: a) perceptions of the purpose of accreditation; b) the “work” of accreditation; and c) dissemination gaps regarding results. Informative finding from this study include the fact that participants put surprising value on the accreditation process, although mistaken feel it is mandatory; that the “work” of accreditation can be disappointing and feels disconnected from the bigger QI picture, and that the disconnect also exists in terms of their knowledge of and belief in the actual results of the process.Conclusions: These findings point to potential gaps in the accreditation culture which can be detrimental to the impact of the accreditation process.  Such gaps likely exist in other health care organizations and could inform similar evaluations in other settings.

scholarly journals Promoting Factors for Physical Activity in Children with Asthma Explored through Concept Mapping

2019 ◽  
Vol 16 (22) ◽  
pp. 4467 ◽  
Author(s):  
Annette Brons ◽  
Katja Braam ◽  
Annieck Timmerman ◽  
Aline Broekema ◽  
Bart Visser ◽  
...  
Keyword(s):  
Physical Activity ◽  
Concept Mapping ◽  
Healthcare Providers ◽  
Personal Factors ◽  
Mapping Study ◽  
Physically Active ◽  
Children With Asthma ◽  
And Cluster Analysis ◽  
Study Participants ◽  
The Impact

For children with asthma, physical activity (PA) can decrease the impact of their asthma. Thus far, effective PA promoting interventions for this group are lacking. To develop an intervention, the current study aimed to identify perspectives on physical activity of children with asthma, their parents, and healthcare providers. Children with asthma between 8 and 12 years old (n = 25), their parents (n = 17), and healthcare providers (n = 21) participated in a concept mapping study. Participants generated ideas that would help children with asthma to become more physically active. They sorted all ideas and rated their importance on influencing PA. Clusters were created with multidimensional scaling and cluster analysis. The researchers labelled the clusters as either environmental or personal factors using the Physical Activity for people with a Disability model. In total, 26 unique clusters were generated, of which 17 were labelled as environmental factors and 9 as personal factors. Important factors that promote physical activity in children with asthma according to all participating groups are asthma control, stimulating environments and relatives, and adapted facilities suiting the child’s needs. These factors, supported by the future users, enable developing an intervention that helps healthcare providers to promote PA in children with asthma.

scholarly journals Your womb, your choice! Making an informed decision regarding the timing of pregnancy following miscarriage

2020 ◽  
Author(s):  
Faizan Shah ◽  
Sohinee Bhattacharya ◽  
Kathleen Lamont ◽  
Heather May Morgan
Keyword(s):  
Patient Information ◽  
World Health ◽  
Online Information ◽  
Reproductive Choice ◽  
Multiple Sources ◽  
Web Based ◽  
Normal Period ◽  
Discussion Threads ◽  
Health Organization ◽  
The Impact

The ideal interpregnancy interval (IPI) following a miscarriage is controversial as the World Health Organization (WHO) advise women to delay pregnancy for at least six months. Subsequent research has found that IPI less than six months is beneficial for both mother and baby. The impact of this guidance on the decision-making process for couples/women in this predicament is unknown. Views of women regarding the optimum IPI following miscarriage were investigated using a thematic framework applied to discussion threads from a popular online forum, Mumsnet (www.mumsnet.com). A systematic search of all online information was also undertaken to identify all relevant patient information regarding conceiving another pregnancy after a miscarriage. The findings from the search were tabulated and analysed in relation to the themes identified from the discussion threads on Mumsnet. Ninety-four discussion threads were included. Women saw no reason to wait if they felt ready. Women posted about their frustrations at the multiple sources of conflicting advice they received, at the lack of professional sympathy and felt that being told to wait before trying to conceive after a miscarriage was outdated advice. However, these findings were not corroborated by the patient information currently available online. All web-based patient information gave consistent advice, to wait for at least one normal period before trying to conceive again after a miscarriage and to try for another pregnancy when they felt physically mentally and emotionally ready. None advised waiting for six months. This study highlights that sometimes despite contradictory clinical advice, women are keen to make their own decisions regarding reproductive choice. These decisions are often empowered by peer support and advice which women trust over inconsistent information received from healthcare professionals. In this case, health information appears to have been updated in response to womens choice rather than the other way around.

scholarly journals Effect of Educational Interventions on Understanding and Use of Nutrition Labels: A Systematic Review

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1432 ◽  
Author(s):  
Sally Moore ◽  
Judy Donnelly ◽  
Steve Jones ◽  
Janet Cade
Keyword(s):  
Educational Interventions ◽  
The United States ◽  
Future Research ◽  
Web Based ◽  
Nutrition Labels ◽  
Research Education ◽  
Nutrition Facts Panel ◽  
Study Participants ◽  
Participant Understanding ◽  
The Impact

The potential for nutrition labels to impact on population health is dependent on consumer ability to understand and use this information. Consumer understanding of this information varies across sociodemographic groups and with different label design formats. Labeling legislation requires consumer education on how to use nutrition labels, and recent mandatory changes to the Nutrition Facts Panel (NFP) are underway to improve comprehensibility. This review aimed to evaluate if educational programs can improve understanding and use of nutrition labels. Database searches were performed to identify interventions which delivered education on nutrition labels with outcomes measuring aspects of comprehension or use. A total of 17 studies were selected for review, including nine randomized and eight cohort studies. The majority of studies were conducted in the United States Study participants included school aged children, older adults, and those with diabetes within a range of intervention types involving taught sessions or web-based education. Whilst outcome measures were heterogenous, all studies reported a statistically significant improvement in one or more outcomes of participant understanding or use of nutrition labels. Aspects such as general nutrition knowledge, health literacy, and program delivery format warrant attention in future research. Education which optimizes comprehension and use of nutrition labels may have the potential to improve the impact of this information on dietary health.

The implementation of evidence-based infection prevention in healthcare facilities in Egypt: A systematic literature review

2021 ◽  
Vol 1 (2) ◽  
pp. 093-099
Author(s):  
Nermeen Abdel-Fattah Shehab ◽  
Ahmed Atef Faggal ◽  
Ashraf Ali Nessim
Keyword(s):  
Infection Prevention ◽  
Healthcare Providers ◽  
Healthcare Facility ◽  
Hospital Staff ◽  
Evidence Based ◽  
Surveillance Systems ◽  
Environment Design ◽  
Environmental Interventions ◽  
Healthcare Facilities ◽  
The Impact

The idea of searching: This study tends to assess the impact of implementing evidence-based infection prevention in healthcare facilities in Egypt, with the aim of improving surveillance systems and altering the facility designs according to the data acquired on HAIs patterns. Background: Hospital acquired infections (HAIs) are becoming one of the major concerns for the patients and healthcare providers leading to significant increase in mortality rates, morbidity rates and financial losses for healthcare organizations. The incidence rate of HAI in Egypt was as recorded as 3.7% recently. Certain environmental interventions, implemented during construction of the healthcare facility could lead to enhanced prevention against the transmission and spread of the HAIs. Studies revealed that the integration of Surveillance programs could provide evidence for the designers to alter the healthcare facility design with the aim of infection prevention. Therefore, EBD approach is used to potentially measure psychological and physical effects of the environment design of a health facility on the patients and hospital staff. Methodology: Previous scientific literature is assessed to collect the relevant data which is then organized and analyzed in this study. A systematic review is generated based on the analytical outcomes of the selected data. Conclusion: EBD approach has the potential to prominently decrease HAIs burden in Egyptian healthcare facilities as it provides a diverse insight into the layout, equipment, and materials that contribute in the transmission of pathogens due to faulty design. Findings and recommendations: In order to improve the poor indoor quality by MEP (mechanical, electrical, and plumbing), previous studies have also indicated certain solutions including advancements in private room, improved surface selections, isolation, integration of touchless systems, and enhanced ventilation systems that must be applied in the healthcare facilities in Egypt for infection prevention.

Determinants of Web-based disclosure in the Middle East

2018 ◽  
Vol 16 (3) ◽  
pp. 464-489 ◽  
Author(s):  
Henda Abdi ◽  
Henda Kacem ◽  
Mohamed Ali Brahim Omri
Keyword(s):  
Middle East ◽  
Company Size ◽  
Online Information ◽  
Web Based ◽  
Content Type ◽  
Audit Firm ◽  
East Region ◽  
Factors Influencing ◽  
The Impact ◽  
Middle East Region

Purpose This paper aims to examine the factors influencing the extent of information disclosed on the companies’ websites in the Middle East region. Design/methodology/approach This study uses multiple regression models to examine the impact of some companies’ characteristics (company size, leverage, profitability, size of the audit firm, ownership concentration) on the extent of online disclosure. The study was conducted on 170 listed companies in seven countries (Saudi Arabia, Bahrain, the UAE, Jordan, Kuwait, Qatar and Turkey). The website content was analyzed during the period from September 2015 to December 2015. Findings The results reveal that the most important factors influencing the level of Web-based disclosure are company size, leverage and the size of the audit firm. Practical implications The results of the study will help regulators to formulate policies about Web-based disclosure as they offer insights into the characteristics of those companies which do and do not meet investors’ demands for online information. Thereby, the regulators might expect that the Middle East companies engage in the online reporting to be larger, have higher debt levels and audited by a big-four audit firm. Originality/value This study, added to the existing literature by analyzing seven countries in the Middle East region, allows having a clearer idea on the online disclosure in this region as a whole, which has not been examined before. In this paper, to assess the information’s disclosure on the website, the study has been interested in all of the information presented on the websites: financial and non-financial information.

scholarly journals Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the US

2019 ◽  
Vol 14 ◽  
Author(s):  
Phaedra T. Johnson ◽  
Christopher F. Bell ◽  
John White ◽  
Breanna Essoi ◽  
Linda Nelsen ◽  
...  
Keyword(s):  
Financial Burden ◽  
Healthcare Providers ◽  
Self Care ◽  
Web Based ◽  
The Us ◽  
Household Costs ◽  
Patient Responses ◽  
Care Problems ◽  
Anxiety Depression ◽  
The Impact

Background: Little is known about how patients and healthcare providers (HCPs) perceive the impact of asthmarelated exacerbations. This study examined the impact of asthma-related exacerbations on patients’ lives from these different perspectives. Methods: Web-based surveys were administered to a US sample of adult patients with asthma, and HCPs. Participants reviewed six vignettes describing two hypothetical patients with asthma (25-year-old/single/unemployed/ no dependents; and 45-year-old/married/employed/two young children) experiencing mild, moderate, or severe exacerbations and rated the impact on eight measures: EuroQoL-5 Dimensions (mobility, self-care, usual activities, pain/ discomfort, and anxiety/depression), sleep, household costs, and medical costs. The proportions reporting impact for each measure were calculated for each vignette; and patient responses were compared with HCP responses. Results: 302 patients with asthma and 300 HCPs completed the survey. As exacerbation severity increased, a higher proportion of patients and HCPs reported impact of exacerbations on patients with asthma. Compared with HCPs, a greater proportion of patients reported problems with pain/discomfort related to mild and moderate exacerbations. Compared with patients, HCPs were more likely to indicate sleep impact, mobility problems, and financial burden across all exacerbation severity levels; self-care problems with moderate and severe exacerbations; and problems with usual activities and anxiety/depression for severe exacerbations. Conclusions: Understanding the distinctions between how patients and HCPs perceive the impact of exacerbations is important for optimizing patient care. HCPs may be less aware of patient’s concerns about exacerbation-related pain/ discomfort. Studies are needed to further understand patient-HCP interactions regarding asthma-related exacerbations.

scholarly journals Improving Residents' Knowledge of Arterial and Central Line Placement With a Web-Based Curriculum

2010 ◽  
Vol 2 (4) ◽  
pp. 548-554 ◽  
Author(s):  
Shilpa Grover ◽  
Paul F. Currier ◽  
Jason M. Elinoff ◽  
Joel T. Katz ◽  
Graham T. McMahon
Keyword(s):  
Test Scores ◽  
Central Line ◽  
Arterial Line ◽  
Web Based ◽  
Online Test ◽  
Internal Medicine Residents ◽  
Baseline Test ◽  
The Difference ◽  
Study Participants ◽  
The Impact

Abstract Background Procedural skill is predicated on knowledge. We used a previously validated test to evaluate the impact of a web-based education program on medical residents' knowledge of 2 advanced medical procedures. Methods We enrolled 210 internal medicine residents at 3 residency programs in a randomized, controlled, educational trial. Study participants completed a 20-item, validated online test of their knowledge of central venous and arterial line (CVL and AL, respectively) placement at baseline and after performing their next 2 procedures (test 1 and test 2). Between test 1 and test 2, participants were randomized to online educational material for CVL insertion, AL insertion, both, or neither. The primary outcome of the study was the difference in test scores between test 1 and test 2 by randomization group. Results Though residents in the baseline cohort were confident about their knowledge of procedural technique, their mean test scores were low (62% and 58% in the CVL and AL tests, respectively). Baseline test score correlated with the number of prior procedures performed. Sixty-five residents completed all 3 CVL tests, and 85 residents completed all 3 AL tests. Access to the web-based procedure education was associated with a significant improvement in scores for both the CVL test (effect size, d  =  0.25, P  =  .01) and AL test (d  =  0.52, P < .001). Conclusions Web-based procedure training improves knowledge of procedures to a significantly greater extent than performing the procedure alone. Web-based curricula can effectively supplement other methods of skill development.

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