Adaptation and implementation of the Batz guide for bedside advocacy in two hospitals

2021 ◽  
pp. 1-10
Author(s):  
Viviana Rodríguez ◽  
Dolores Machiavello ◽  
Cintia Spira ◽  
Juan Ruiz ◽  
Fernando Canteros ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Formative Research ◽  
Local Context ◽  
Focus Group Discussions ◽  
Patient Centered ◽  
Group Discussions ◽  
Individual Interviews ◽  
Before And After ◽  
Centered Care ◽  
Local Healthcare

BACKGROUND: The patients’ guide by the Batz Patient Safety Foundation promotes patients’ active participation in healthcare and a safe hospital experience. OBJECTIVE: The aim was to adapt the Spanish version of the guide to the local context and evaluate its acceptability from healthcare professionals’ and patients’ perspectives in two hospitals in Buenos Aires, Argentina. METHODS: This implementation study had a formative research phase to adapt the guide with input from individual interviews and focus group discussions. The intervention comprised training sessions for professionals on patient-centered care and use of the guide, the appointment of coordinators, and distribution of the guide. The adapted guide (section During Admission) was distributed in two hospitals. Before and after intervention, we administered surveys to explore acceptability, utility, and patient satisfaction. RESULTS: Findings from formative research showed that the Batz guide needed to be shortened and adapted to the local healthcare context Although professionals had agreed on the importance of clinical guidelines; after using the Batz guide, they found it complex and difficult to implement. Patients’ satisfaction with healthcare before and after implementing the guide did not differ significantly. Best scores were found in items related to availability of nurses, staff competence and staff kindness. A 78% of patients found the Batz guide useful. CONCLUSION: It is of critical importance to adapt the guide to the local culture, pilot it, and provide training to promote its implementation, improving acceptability and utility.

scholarly journals Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ingunn Aase ◽  
Eline Ree ◽  
Terese Johannessen ◽  
Torunn Strømme ◽  
Berit Ullebust ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Healthcare Professionals ◽  
Daily Practice ◽  
Patient Centered ◽  
Cross Sectional ◽  
Individual Interviews ◽  
Centered Care ◽  
Perception Of Quality ◽  
Professional Pride ◽  
The Right

Abstract Background The delivery of high-quality service in nursing homes and homecare requires collaboration and shared understanding among managers, employees, users and policy makers from across the healthcare system. However, conceptualizing healthcare professionals’ perception of quality beyond hospital settings (e.g., its perspectives, defining attributes, quality dimensions, contextual factors, dilemmas) has rarely been done. This study therefore explores the meaning of “quality” among healthcare managers and staff in nursing homes and homecare. Methods The study applies a cross-sectional qualitative design with focus groups and individual interviews, to capture both depth and breadth of conceptualization of quality from healthcare professionals in nursing homes and homecare. We draw our data from 65 managers and staff in nursing homes and homecare services in Norway and the Netherlands. The participants worked as managers (n = 40), registered nurses (RNs) or assistant nurses (n = 25). Results The analysis identified the two categories and four sub-categories: “Professional issues: more than firefighting” (subcategories “professional pride” and “competence”) and “patient-centered approach: more than covering basic needs” (subcategories “dignity” and “continuity”). Quality in nursing homes and homecare is conceptualized as an ongoing process based on having the “right competence,” good cooperation across professional groups, and patient-centered care, in line with professional pride and dignity for the patients. Conclusion Based on the understanding of quality among the healthcare professionals in our study, quality should encompass the softer dimensions of professional pride and competence, as well as a patient-centered approach to care. These dimensions should be factors in improvement activities and in daily practice.

scholarly journals Testing and Assessment of Mozzify, the first integrated mhealth app for dengue fever in the Philippines (Preprint)

2020 ◽  
Author(s):  
Von Ralph Dane Marquez Herbuela ◽  
Tomonori Karita ◽  
Thaddeus Carvajal ◽  
Howell Ho ◽  
John Lorena ◽  
...  
Keyword(s):  
Focus Group ◽  
Dengue Fever ◽  
Healthcare Professionals ◽  
The Philippines ◽  
Security And Privacy ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Early Detection Of Disease ◽  
Individual Interviews ◽  
School Based

BACKGROUND The Philippines recently declared a national dengue fever (DF) epidemic. Yet, to our knowledge, Philippines relies its DF surveillance system on passive surveillance method (notifications from barangay/village health centers, municipal or city health offices, hospitals and clinics), and there is no available integrated mhealth app for dengue fever that includes all the appropriate surveillance methods in early detection of disease outbreaks in the country. OBJECTIVE This study aimed to test and assess the Mozzify app in terms of the Mobile App Rating Scale (MARS) subscales: objective quality (engagement, functionality, aesthetics, information), app-subjective and app-specific qualities and compare the total app mean score ratings by socio-demographic profile and self and family DF history to see what factors are associated with high app mean score rating. We also conducted individual interviews and focus group discussions among the participants, and analyze their comments and suggestions to help structure further improvement and future development of the app. METHODS We have tested and assessed Mozzify, among healthcare professionals and members of the school-based samples using the Mobile Application Rating Scale (MARS) professional and user versions (uMARS). We compared the total app mean score ratings by socio-demographic and DF history using mean difference analyses. Content analysis was used to analyse the topics raised in individual interviews and focus group discussions. RESULTS Mozzify obtained an over-all >4 (out of 5) mean score ratings in the MARS’ and uMARS’ app objective quality (4.45), subjective (4.17) and specific (4.55) scales among 979 participants (healthcare professionals n = 94; school-based samples n = 885). Mean difference analyses revealed that total app mean score ratings were not significantly different across ages and gender among healthcare professionals and school-based samples. Similar results were found across income categories, and self and family DF history but not gender (P <0.001), among the school-based samples. Content analyses of the topics discussed in the individual interviews and focus group discussions revealed eight major themes: suggestions on multi-language options and including other diseases; Android version availability; improvements on the app’s content, design and engagement; inclusion of users from low-income and rural areas; Wi-Fi connection and app size concerns; data credibility, and user security and privacy issues. CONCLUSIONS This study confirms that Mozzify can be a promising integrated strategic health intervention and surveillance system for reporting and mapping DF cases, increasing awareness, improving knowledge, and facilitating behavior change (practicing preventive measures against DF). It can be used by healthcare professionals and school-based samples of any age (>18 years), socioeconomic status and DF history. However, in spite of its many strengths and unique features, improvements that are tailored to the needs of the intended users should still be done without compromising their security and privacy. Based from the findings, once we have completed further improvements, a longitudinal trial of Mozzify should be done among community-based participants to finally conclude if this can be an appropriate surveillance method in early detection of disease outbreaks in the Philippines and other countries where DF is endemic. CLINICALTRIAL

scholarly journals The usability of Jordan stillbirths and neonatal deaths surveillance (JSANDS) system: results of focus group discussions

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Yousef S. Khader ◽  
Khulood K. Shattnawi ◽  
Nihaya Al-Sheyab ◽  
Mohammad Alyahya ◽  
Anwar Batieha
Keyword(s):  
Focus Group ◽  
System Performance ◽  
Surveillance System ◽  
Healthcare Professionals ◽  
Qualitative Approach ◽  
Focal Points ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Neonatal Deaths ◽  
Technical Issues

Abstract Background Jordan Stillbirths and Neonatal Deaths Surveillance system (JSANDS) is a newly developed system and is currently implemented in five large hospitals in Jordan. This study aimed at exploring the healthcare professionals’ perception about the usability of JSANDS. Methods A descriptive qualitative approach, using focus group discussions, was adopted. A total of 5 focus groups including 23 focal points were conducted in five participating hospitals in Jordan. Results Data analysis identified nine main issues related to the JSANDS system: the system usefulness, the system performance, data quality, the system limitations, human rights, female empowerment, nurses’ competencies strengthened, the sustainability of the JSANDS, and COVID-19 impact on the system. Users reported that JSANDS data were useful, the system was simple and easy to use, and the data were accurate and complete. However, some users reported that some technical issues need to be enhanced. Conclusions JSANDS was perceived positively by the current users. According to them, it provides a formative and comprehensive data on stillbirths and neonatal deaths and their causes, and therefore, was recommended to be adopted by its users and scaled up.

Disability and Social Exclusion

2017 ◽  
Vol 29 (1) ◽  
pp. 22-43 ◽  
Author(s):  
Elina I. Tobias ◽  
Sourav Mukhopadhyay
Keyword(s):  
Qualitative Research ◽  
Focus Group ◽  
Social Exclusion ◽  
Lived Experiences ◽  
Research Approach ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Daily Lives ◽  
Community Activities ◽  
Individual Interviews

This article explores the experiences of social exclusion of individuals with visual impairment (IWVI) as they negotiate their daily lives in their homes and societal settings in the Oshana and Oshikoto regions of Namibia. Employing qualitative research approach, this research tried to better understand the lived experiences of IWVI. Nine IWVI with ages ranging from 30 to 90 years were initially engaged in focus group discussions, followed by semi-structured in-depth individual interviews. The findings of this research indicated that IWVI experience exclusion from education, employment and social and community participation as well as relationships. Based on these findings, we suggest more inclusive policies to address social exclusion of IWVI. At the same time, this group of individuals should be empowered to participate in community activities to promote interaction with people without visual impairments.

scholarly journals Livelihoods Used by Street Children for Survival in Bamako, Mali

2015 ◽  
Vol 8 (1) ◽  
pp. 53
Author(s):  
Oumou Diallo ◽  
Guang Xin Wang ◽  
Hamadoun H. Toure
Keyword(s):  
Focus Group ◽  
Street Children ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Individual Interviews ◽  
Bus Station

<p>This study is based on the livelihood used by street children for survival in Bamako, Mali. Two bus stations were selected for this study: Sogoniko bus station and Medina bus station. Most buses leave from these stations to the vicinity of the country. Data was collected through individual interviews (one by one), focus group discussions and interviews. A sample of one hundred and twenty street children aged between 8 and 17 years were selected for this study. Thirty people were also selected to give their opinions on street children. The results indicate that most of street children survive by selling small objects and through begging, 32.5% and 22.50% respectively. Our survey indicates that there are different factors pushing them to the streets, and as a way of survival on the streets, there is need to be organized, hence, they are organize themselves into groups for protection against violence and aggressions.</p>

scholarly journals The University Medical Centre: A student’s perspective

2021 ◽  
Author(s):  
Gabrielle Hubert ◽  
Cameron Pow ◽  
Sandra Tullio-Pow
Keyword(s):  
Primary Care ◽  
Healthcare Professionals ◽  
Care Physician ◽  
Medical Centre ◽  
First Year ◽  
Patient Centered ◽  
First Year Students ◽  
Centered Care ◽  
The University ◽  
University Setting

Over 515,000 students attended Ontario Universities in 2015/16, including 60,000 international students from abroad (https://ontario universityes.ca/resources/data/numbers). First-year students who are away from home find themselves needing a new primary care physician. While a few researchers have examined student health care within the university setting in regard to mental health (Evans, 1999), sexual health (Habel et al., 2018)., and health promotion (Griebler et al., 2017), there has been little research focused on the first-year student experience in finding primary care. Our study examined communication pathways, wayfinding and misconceptions students have related to the university medical centre. Patient centered care involves a partnership between a healthcare provider and their patient. In this partnership healthcare professionals must consider the patient experience and be more informative, mindful, empathic and collaborative to provide the best possible care (Epstein & Street, 2011).

Providing Patient Centered Care for Adolescents with Chronic Conditions

2016 ◽  
Vol 6 (1) ◽  
pp. 22-29
Author(s):  
Nabeel Al-Yateem
Keyword(s):  
Young Adults ◽  
Healthcare Professionals ◽  
Transition Process ◽  
Healthcare Services ◽  
Adolescents And Young Adults ◽  
Study Phase ◽  
Patient Centered ◽  
Centered Care ◽  
Group Interviews ◽  
Depth Interviews

Background: It is well acknowledged that clear, structured healthcare services that are mutually developed between the patient and the healthcare professionals are likely to be of high quality, desirable, and effective. Such service should address the complexity of the illness-health experience in terms of the factors that influence it as well as the physical and psychosocial consequences on the patient. The required focus should be on treating the patient rather than just treating the disease.Objectives: To develop relevant and feasible care guidelines that may inform more competent and patient centered services for adolescents and young adults with chronic conditions.Methodology: A sequential exploratory mixed method design guided this study. The first qualitative phase employed in-depth interviews to explore the experiences of adolescents and young adults about the health services they were receiving. This was followed by focus group interviews with healthcare professionals to discuss the patients’ reported needs and to suggest interventions that would address them. Finally, a second quantitative phase was carried out through a survey to explore the views of a larger sample of service stakeholders about the relevance and feasibility of the suggested guidelines for clinical practice.Results: The in-depth interviews revealed four main themes, as follows: a current amorphous service, sharing knowledge, the need to be at the center of service, and easing the transition process to adulthood. The second study phase yielded 32 proposed guidelines that may contribute to more competent and patient centered health care.

Teachers’ and custodians’ views and dilemmas arising thereof regarding the integration of indigenous knowledge in the primary school

2020 ◽  
Vol 16 (4) ◽  
pp. 356-368
Author(s):  
Nadaraj Govender ◽  
Godfrey Mutendera
Keyword(s):  
Primary School ◽  
Indigenous Knowledge ◽  
Primary Schools ◽  
School Curriculum ◽  
Study Data ◽  
Standpoint Theory ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Individual Interviews ◽  
Primary School Curriculum

Indigenous Knowledge is largely neglected in the primary school curriculum, yet it espouses the history, art, nature, and traditions of the community from which students come. This study explores the views of six custodians and six teachers on the integration of Indigenous Knowledge in the primary school curriculum in Zimbabwe. Indigenous standpoint theory and participatory research methodology framed the study. Data were generated through focus group discussions with Indigenous Knowledge custodians through individual interviews with teachers. The custodians’ views confirmed that Indigenous Knowledge was significant to their identities, but they were concerned with the loss of their culture due to modernization. Most teachers acknowledged the wisdom of Indigenous Knowledge custodians, welcomed their contributions, but some teachers were sceptical about custodians teaching formally in the classrooms. Several dilemmas arose from the views of participants, which have implication for the integration of Indigenous Knowledge in primary schools.

scholarly journals Dating and Sex Among Emerging Adults in Nepal

2010 ◽  
Vol 26 (6) ◽  
pp. 675-700 ◽  
Author(s):  
Pramod R. Regmi ◽  
Edwin R. van Teijlingen ◽  
Padam Simkhada ◽  
Dev R. Acharya
Keyword(s):  
Public Health ◽  
Sexual Behavior ◽  
Young People ◽  
Emerging Adults ◽  
Informal Education ◽  
Safer Sex ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cultural Changes ◽  
Individual Interviews

Social and cultural changes in Nepal, including better communication facilities and transport, more urbanization and a rising age at which people marry, have created more opportunities for young people for “dating.” Our qualitative study explores whether the existence of dating cultures influences young people’s sexual behavior in Nepal. Focus group discussions with a total of 75 participants and 31 in-depth individual interviews were conducted among young people in Nepal. Most urban and rural young people liked the dating culture. Although it is a new kind of culture in Nepalese society, it is gaining popularity. The mass media were regarded as encouraging and creating an environment for dating. Most participants believed that dating culture encourages premarital and extramarital sexual behavior. The authors underpin their findings by linking it to the “emerging adulthood” framework. In terms of public health, they recommend that dating practice should be discussed in formal and informal education to promote safer sex.

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