scholarly journals Knowing in Nurses’ Belief and Attitude about Patient Activation: A Validation of the Korean Clinician Support for Patient Activation Measure Using Rasch Analysis

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 571
Author(s):  
Suhyeon Choi ◽  
Yun Hee Ham ◽  
Kihye Han ◽  
Eunjung Ryu
Keyword(s):  
Rasch Analysis ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Patient Activation ◽  
Critical Factor ◽  
Cross Sectional ◽  
Korean Version ◽  
Patient Activation Measure ◽  
Ranking Order ◽  
Clinician Support

Background: Patient engagement is considered a critical factor in improving healthcare delivery. This study aimed to test the Korean version of the Clinician Support for Patient Activation Measure (CS-PAM) using Rasch analysis, and to explore nurses’ beliefs about patient self-management. Methods: A cross-sectional, exploratory study design was employed. The staff nurses who were recruited from six hospitals were requested to complete the Korean CS-PAM. Their responses were subsequently subjected to Rasch analysis to validate the Korean CS-PAM. The CS-PAM was paraphrased into Korean using the standardized forward–backward translation method. Results: The internal consistency of the scale had good Cronbach’s alpha value. For all items, the infit and outfit statistics fell well within the acceptable range of 0.5–1.5. This measure formed a unidimensional Guttman-like scale that explained 54.7% of the variance. Conclusions: The Korean version of the CS-PAM showed good psychometric properties and appeared to be consistent with the meaning of the original CS-PAM. However, the items have a somewhat different ranking order when compared to the English and Dutch versions. The instrument might be useful for identifying the supportive beliefs and attitudes of nurses or healthcare providers in order to improve patient activation in healthcare.

Knowledge and Communication of the National Core Standards Tool

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Winnie Thembisile Maphumulo ◽  
Busisiwe Bhengu
Keyword(s):  
Pearson Correlation ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Quality Of Healthcare ◽  
Survey Study ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Professional Nurses

The National Department of Health in South Africa has introduced the National Core Standards (NCS) tool to improve the quality of healthcare delivery in all public healthcare institutions. Knowledge of the NCS tool is essential among healthcare providers. This study investigated the level of knowledge on NCS and how the NCS tool was communicated among professional nurses. This was a cross-sectional survey study. Purposive sampling technique was used to select hospitals that only offered tertiary services in KwaZulu-Natal. Six strata of departments were selected using simple stratified sampling. The population of professional nurses in the selected hospitals was 3 050. Systematic random sampling was used to recruit 543 participants. The collected data were analysed using SPSS version 25. The study showed that only 16 (3.7%) respondents had knowledge about NCS, using McDonald’s standard of learning outcome measured criteria regarding the NCS tool. The Pearson correlation coefficient between the communication and knowledge was r = 0.055. The results revealed that although the communication scores for the respondents were high their knowledge scores remained low. This study concluded that there is a lack of knowledge regarding the NCS tool and therefore healthcare institutions need to commit themselves to the training of professional nurses regarding the NCS tool. The findings suggest that healthcare institutions implement the allocation of incentives for nurses that attend the workshops for NCS.

scholarly journals IMPACT AND SATISFACTION WITH E-CONSULTATION: A PERCEPTION OF ALLIED HEALTH PROFESSIONALS

2021 ◽  
Vol 10 (2) ◽  
pp. 19-24
Author(s):  
Mubashir Siddiqui
Keyword(s):  
Health Professionals ◽  
Allied Health ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Cross Sectional Survey ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Google Docs ◽  
Consultation Services ◽  
Good Substitute

BACKGROUND AND AIMS The havoc caused by COVID-19 leads to have an adverse impact on medical priorities for consultation however e-consultation has been used widely by practitioners to aid the patient and healthcare providers. METHODOLOGY A cross-sectional survey was conducted on allied health professionals, considering physical and occupational therapists. A self-administered questionnaire regarding impact assessment and level of attained satisfaction was distributed to participants in Google Docs via email or Whatsapp groups. RESULTS A total number of 109 responses obtained from the participants showed (34.9%) were agreed to understand the completed condition of the patient, (38.5%) but (41.3%) disagreed to treat the patient same as physical appointment and (35.58%) disagreed to work more productively. Only (32.1%) were agreed to be satisfied during their consultation, (49.5%) agreed that e-consultation can never be adopted as a good substitute of physical appointments. CONCLUSION It was concluded that limited number of therapists were satisfied with their e-consultation services while majority were agreed that the service cannot be a good substitute for a physical appointment. Therefore, further trials needs to be conducted to evaluate the factors causing hindrance in healthcare delivery.

Patient Activation Measure 13—Korean Version

2015 ◽  
Author(s):  
Yang-Heui Ahn ◽  
Chung-Hwi Yi ◽  
Ok-Kyung Ham ◽  
Bong-Jeong Kim
Keyword(s):  
Patient Activation ◽  
Korean Version ◽  
Patient Activation Measure

Doctor-patient communication: a review and a rationale for using an assessment framework

2018 ◽  
Vol 32 (7) ◽  
pp. 891-907 ◽  
Author(s):  
Ariel Belasen ◽  
Alan T. Belasen
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Critical Factor ◽  
Patient Communication ◽  
Assessment Framework ◽  
Content Type ◽  
Doctor Patient Communication ◽  
Communication Assessment ◽  
Operational Issues ◽  
The Impact

Purpose The purpose of this paper is to explore the extent to which improving doctor–patient communication (DPC) can address and alleviate many healthcare delivery inefficiencies. Design/methodology/approach The authors survey causes and costs of miscommunication including perceptual gaps between how physicians believe they perform their communicative duties vs how patients feel and highlight thresholds such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) used by hospitals to identify health outcomes and improve DPC. Findings The authors find that DPC correlates with better and more accurate care as well as with more satisfied patients. The authors utilize an assessment framework, doctor–patient communication assessment (DPCA), empirically measuring the effectiveness of DPC. While patient care is sometimes viewed as purely technical, there is evidence that DPC strongly predicts clinical outcomes as well as patients’ overall ratings of hospitals. Research limitations/implications More research is needed to extend our understanding of the impact of the DPC on the overall HCAHPS ratings of hospitals. The authors think that researchers should adopt a qualitative method (e.g. content analysis) for analyzing DPC discourse. Practical implications When a sufficient amount of DPCA training is initiated, a norming procedure could be developed and a database may be employed to demonstrate training program’s efficacy, a critical factor in establishing the credibility of the measurement program and nurturing support for its use. Originality/value The authors highlight clinical and operational issues as well as costs associated with miscommunication and the need to use metrics such as HCAHPS that allow consumers to see how hospitals differ on specific characteristics.

scholarly journals Smoking behaviour among adult patients presenting to health facilities in four provinces of Vietnam

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wan-Chun Huang ◽  
Ngoc Yen Pham ◽  
Thu Anh Nguyen ◽  
Van Giap Vu ◽  
Quy Chau Ngo ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Smoking Behaviour ◽  
Health Facilities ◽  
Healthcare Delivery System ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
District Hospitals ◽  
Quit Attempts

Abstract Background Attendance at healthcare facilities provides an opportunity for smoking cessation interventions. However, the smoking behaviours of patients seeking healthcare in Vietnam are not well-understood. We aimed to evaluate behaviours related to smoking among patients presenting to health facilities in Vietnam. Methods We conducted a cross-sectional study in 4 provinces of Vietnam. Consecutive patients aged ≥15 years presenting to 46 health facilities were assessed. Current smokers were randomly selected to complete a full survey about smoking behaviour, quit attempts, and preparedness to quit. Results Among 11,245 patients who sought healthcare, the prevalence of current smoking was 18.6% (95% CI: 17.8–19.4%) overall, 34.6% (95% CI: 33.2–36.0%) among men and 1.1% (95% CI: 0.8–1.3%) among women. Current smokers who were asked about smoking by healthcare providers in the last 12 months were more likely to make quit attempts than those not asked (40.6% vs 31.8%, p = 0.017). Current smokers who attempted to quit in the past 12 months made limited use of cessation aids: counselling (1.9%) and nicotine replacement therapy (10%). A higher proportion of patients wanted to quit in the next month at national/provincial hospitals (30.3%) than those visiting district hospitals (11.3%, p < 0.001) and commune health centres (11.1%, p = 0.004). Conclusions Smoking is common among male patients presenting to healthcare facilities in Vietnam. Formal smoking cessation supports are generally not used or offered. This population is likely to benefit from routine smoking cessation interventions that are integrated within the routine healthcare delivery system.

Clinician Support for Patient Activation Measure

2010 ◽  
Author(s):  
Judith H. Hibbard ◽  
Peter Alf Collins ◽  
Eldon Mahoney ◽  
Laurence H. Baker
Keyword(s):  
Patient Activation ◽  
Patient Activation Measure ◽  
Clinician Support

scholarly journals Lessons from the COVID-19 pandemic: People's experiences and satisfaction with telehealth during the COVID-19 pandemic in Australia

2020 ◽  
Author(s):  
Jennifer MJ Isautier ◽  
Tessa Copp ◽  
Julie Ayre ◽  
Erin Cvejic ◽  
Gideon Meyerowitz-Katz ◽  
...  
Keyword(s):  
Healthcare Delivery ◽  
Patient Activation ◽  
Free Text ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Medical Appointment ◽  
Additional Burden ◽  
History Of ◽  
Better Than

Objectives: To determine how participants perceived telehealth consults in comparison to traditional in-person visits, and to investigate whether people believe that telehealth services would be useful beyond the pandemic. Design: A national cross-sectional community survey. Participants: Australian adults aged 18 years and over (n=1369). Main outcome measures: Telehealth experiences. Results: Of the 596 telehealth users, the majority of respondents (62%) rated their telehealth experience as "just as good" or "better" than a traditional in-person medical appointment. On average, respondents perceived that telehealth would be moderately to very useful for medical appointments after the COVID-19 pandemic is over (M=3.67 out of 5, SD=1.1). Being male (p=0.007), having a history of both depression and anxiety (p=0.037), or lower patient activation (individuals' willingness to take on the role of managing their health/healthcare) (p=0.037) were associated with a poorer telehealth experience. Six overarching themes were identified from free-text responses of why telehealth experience was poorer than a traditional in-person medical appointment: communication is not as effective; limitations with technology; issues with obtaining prescriptions and pathology; reduced confidence in doctor; additional burden for complex care; and inability to be physically examined. Conclusions: Telehealth appointments were reported to be comparable to traditional in-person medical appointments by most of our sample. Telehealth should continue to be offered as a mode of healthcare delivery while the pandemic continues and may be worthwhile beyond the pandemic.

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