scholarly journals Pharmacists’ Utilization of Information Sources Related to Community and Population Needs in the Upper Midwest and Associations with Continuing Professional Education

Pharmacy ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 125
Author(s):  
Paul Henkel ◽  
Marketa Marvanova
Keyword(s):  
Professional Education ◽  
Health Professionals ◽  
Rural Areas ◽  
Information Sources ◽  
Continuing Professional Education ◽  
Population Based ◽  
Health Needs ◽  
Local Health ◽  
County Level ◽  
Community Changes

Background: To investigate information sources utilized in pharmacists’ assessment of population-based health needs and/or community changes; and the association between information sources utilized and reported completion of continuing professional education topics. Methods: In 2017; licensed pharmacists (n = 1124) in North Dakota; South Dakota; Minnesota; Iowa; and Nebraska completed a questionnaire on continuing professional education and information sources on population-based health needs and community changes. Data were entered; cleaned and imported into Stata 11.1. Census Bureau county-level population density data were used to classify local area characteristics. Descriptive statistics and multivariate logistic regression analyses were performed. Results: Most sources of primary; county-level data on population-based health needs or community changes were minimally utilized. Pharmacists in more rural areas were statistically more likely to use local health professionals; local non-health professionals; and/or the state health department compared to pharmacists in less rural areas. Pharmacists reporting higher use of population-based information sources were more likely to have completed continuing education in the past 12 months for all 21 surveyed topics; 13 significantly so. Conclusions: There is a reliance of pharmacists on information from local health and non-health professionals for information on population-based health needs and/or community changes. Utilization of health departments and other primary information sources was associated with increased rates of completion of an array of continuing professional education topics. Expanding utilization of evidence-driven information sources would improve pharmacists’ ability to better identify and respond to population-based health needs and/or community changes through programs and services offered; and tailor continuing professional education to population-based health needs.

scholarly journals PREVALENCE OF PARACOCCIDIOIDOMYCOSIS INFECTION BY INTRADERMAL REACTION IN RURAL AREAS IN ALFENAS, MINAS GERAIS, BRAZIL

2014 ◽  
Vol 56 (4) ◽  
pp. 281-285 ◽  
Author(s):  
Evandro Monteiro de Sá Magalhães ◽  
Carla de Fátima Ribeiro ◽  
Carla Silva Dâmaso ◽  
Luiz Felipe Leomil Coelho ◽  
Roberta Ribeiro Silva ◽  
...  
Keyword(s):  
Rural Areas ◽  
Alcohol Intake ◽  
Paracoccidioides Brasiliensis ◽  
Statistical Significance ◽  
Epidemiological Data ◽  
Population Based ◽  
Minas Gerais ◽  
Delayed Type Hypersensitivity ◽  
Local Health ◽  
Cross Sectional

This study aimed to estimate the prevalence of paracoccidioidal infection by intradermal reaction (Delayed-Type Hypersensitivity, DTH) to Paracoccidioides brasiliensis in rural areas in Alfenas, Southern Minas Gerais (MG) State, Brazil, and to assess risk factors (gender, occupation, age, alcohol intake and smoking) associated with infection. We conducted a population-based cross-sectional study using intradermal tests with gp 43 paracoccidioidin in 542 participants, who were previously contacted by local health agents and so spontaneously attended the test. Participants underwent an interview by filling out a registration form with epidemiological data and were tested with an intradermal administration of 0.1 mL of paracoccidioidin in the left forearm. The test was read 48 hours after injection and was considered positive if induration was greater than or equal to 5 mm. Out of 542 participants, 46.67% were positive to the skin test. Prevalence increased in accordance with an increase of age. There was statistical significance only for males. Occupation, alcohol intake and smoking habits were not significantly associated with the risk of paracoccidioidomycosis infection. There is relevance of paracoccidioidomycosis infection in such rural areas, which suggests that further epidemiological and clinical studies on this mycosis should be done in the southern part of Minas Gerais State.

CONTINUING EDUCATION OF NURSES IN BULGARIA ORGANIZATION AND DEVELOPMENT

2018 ◽  
Vol 28 (3) ◽  
pp. 1111-1116
Author(s):  
Maria Spasova
Keyword(s):  
Continuing Education ◽  
Professional Education ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Financial Incentive ◽  
Continuing Professional Education ◽  
Credit System ◽  
Knowledge And Skills ◽  
Traditional Course ◽  
Eu Member States

The dynamics of today's world requires every one of us to maintain, upgrade and refine our knowledge and skills lifelong. For the nurses whose profession is regulated in the EU member states, as well in Bulgaria, continuing education is a key element of their professional development. One of the main objectives of the continuing professional education (CPE) is to contribute to the acquisition of new knowledge and skills in a way, appropriate to meet the needs of а present-day medical practice. The institution that organizes, coordinates, provides and registers continuing professional education of the health care professionals is Bulgarian Association of health professionals in nursing (BAHPN). There are different forms of professional educations – courses, congresses, conferences, seminars, ets. For estimation of the various forms of the continuing education in 2006 have been applied United Credit System (UCS), according to which for participation in each provided form credit points were given. The instrument for registration was the National Electronic Professional Register (NEPR).The aim of this study was to analyze retrospectively the trends in the development of continuing education of nurses in Bulgaria for a period from 2006 until the end of 2017. A database from NEPR with 86866 registered participations was used. Inclusion criterion included that health professionals were nurses, with or without registered CPE participations. The study employed retrospective analysis, documentary and statistical methods.The system of continuing professional education of the nurses in our country is an actively developing system that provides equal access and variety of forms of CPE, credited by BAHPN’s United Credit System. The most preferred form of CPE for the nurses was a traditional course. Participation in other forms of continuing education was under the expected levels and occupied a share of only 14.35% in the total structure of continuing education.The registered number of CPE participations for the observed period is a reason to designate nurses as "learning professionals". Despite the existence of some barriers to participation in continuing education, nurses accomplish their professional ethical commitment by actively building their knowledge and skills. The results of the survey revealed the need of measures to motivate nurses to participate more actively in the different forms of continuing education. Motivation could be achieved through interventions to provide support from the employer and colleagues as well as providing opportunities for sponsoring training and regulating a financial incentive to achieve higher competency.

scholarly journals Health seeking behavior and associated factors among individuals with cough in Yiwu, China: a population-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoyan Sun ◽  
Shuying Luo ◽  
Lingqiao Lou ◽  
Hang Cheng ◽  
Zhen Ye ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Rural Areas ◽  
Population Based ◽  
County Level ◽  
Health Seeking ◽  
Population Based Study ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
Accompanying Symptoms ◽  
And Control

Abstract Background Previous studies have shown that a certain proportion of the population did not seek medical treatment after coughing, and understanding the potential reasons is crucial for disease prevention and control. Method A population-based study was conducted with the probability proportional to population size sampling in Yiwu, Zhejiang, China. A total of 5855 individuals aged ≥15 years lived in Yiwu for more than 6 months were included. All participants completed a laptop-based questionnaire to collect detailed information by a face-to-face interview. Characteristics of individuals were described by categories of health seeking behavior using frequency and percentage. Univariate and multivariate logistic regression analyses were performed to estimate the associations of social-demographic and cough characteristics with health seeking behavior. Results 19.3% (1129/5855) of participants had a cough in the past month, 40% (452/1129) had sought medical treatment. Of these, 26.5% (120/452) chose hospitals at county level or above. Individuals aged ≥65 years old (OR = 2.25, 95% CI: 1.23, 4.12), female (OR = 1.57, 95% CI: 1.21, 2.06), living in rural areas (OR = 1.30, 95% CI: 1.003, 1.69), persistent cough for 3–8 weeks (OR = 2.91, 95% CI: 1.72, 4.92) and with more accompanying symptoms (P trend < 0.001) were more likely to seek medical treatment, but those coughed for > 8 weeks were not (p > 0.5). Female (OR = 0.33, 95% CI: 0.21, 0.54) and people living in rural areas (OR = 0.57, 95% CI: 0.36, 0.92) were less likely to choose hospitals at county level or above while the higher educated were more likely to (OR = 3.29, 95% CI: 1.35, 8.02). Those who coughed for more than 2 weeks were more likely to choose hospitals at or above the county level. But the number of accompanying symptoms does not show any significant relationship with the choice of medical facility. Conclusion The present study found that age, sex, living areas and features of cough were associated with health seeking behavior. It is worth noting that those who coughed for too long (e.g. > 8 weeks) were less likely to seek medical treatment. Targeted measures should be developed based on the key factors found in this study to guide persons to seek medical treatment more scientifically.

scholarly journals How research-based theatre is a solution for community engagement and advocacy at regional medical campuses: The Health and Equity through Advocacy, Research, and Theatre (HEART) program

2018 ◽  
Vol 9 (1) ◽  
pp. e6-13 ◽  
Author(s):  
Allison Brown ◽  
Natalie Ramsay ◽  
Michael Milo ◽  
Mo Moore ◽  
Rahat Hossain
Keyword(s):  
Qualitative Study ◽  
Health Professionals ◽  
Local Community ◽  
Local Population ◽  
Social Accountability ◽  
Health Needs ◽  
Local Health ◽  
Future Health ◽  
Regional Medical ◽  
Regional Campus

Background: Regional medical campuses are often located in geographic regions that have different populations than the main campus, and are well-positioned to advocate for the health needs of their local community to promote social accountability within the medical school.Methods: At the Niagara Regional Campus of McMaster University, medical students developed a framework which combined research, advocacy, and theatre to advocate for the needs of the local population of the regional campus to which they were assigned. This involved a qualitative study using semi-structured interviews with homeless individuals to explore their experience accessing the healthcare system and using a transformative framework to identify barriers to receiving quality healthcare services. Findings from the qualitative study informed a play script that presented the experiences of homeless individuals in the local health system, which was presented to health sciences learners and practicing health professionals. Participants completed two instruments to examine the utility of this framework.Results: Research-based theatre was a useful intervention to educate current and future health professionals about the challenges faced by homeless individuals in the region. Participants from both shows felt the framework of research-based theatre was an effective strategy to promote change and advocate for marginalized populations.Conclusion: Research-based theatre is an innovative approach which can be utilized to promote social accountability at regional medical campuses, advocating for the health needs of the communities in which they are located, with the added bonus of educating current and future health professionals.

scholarly journals Health Seeking Behavior and Associated Factors among Individuals with Cough in Yiwu, China: A Population-based Study

2020 ◽  
Author(s):  
xiaoyan sun ◽  
Shuying Luo ◽  
Lingqiao Lou ◽  
Hang Cheng ◽  
Zhen Ye ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Rural Areas ◽  
Population Based ◽  
County Level ◽  
Health Seeking ◽  
Population Based Study ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
Accompanying Symptoms ◽  
And Control

Abstract Background: Previous studies have shown that a certain proportion of the population did not seek medical treatment after coughing, and understanding the potential reasons is crucial for disease prevention and control. Method: A population-based study was conducted with the probability proportional to population size sampling in Yiwu, Zhejiang, China. A total of 5,855 individuals aged ≥ 15 years lived in Yiwu, China for more than 6 months were included. All participants completed a pad-based questionnaire to collect detailed information by a face-to-face interview. Characteristics of individuals were described by categories of health seeking behavior using frequency and percentage. Univariate and multivariate logistic regression analyses were performed to estimate the associations of social-demographic and cough characteristics with health seeking behavior. Results: 19.3% (1,129/5,855) of participants had a cough in the past month, 40% (452/1,129) had sought medical treatment. Of these, 26.5% (120/452) chose hospitals at county level or above. Individuals aged ≥65 years old (OR=2.25, 95%CI: 1.23, 4.12), female (OR=1.57, 95%CI: 1.21, 2.06), living in rural areas (OR=1.30, 95%CI: 1.003, 1.69), persistent cough for 3-8 weeks (OR=2.91, 95%CI: 1.72, 4.92) and with more accompanying symptoms (P trend<0.001) were more likely to seek medical treatment, but those coughed for >8 weeks were not (p>0.5). Female (OR=0.33, 95%CI: 0.21, 0.54) and people living in rural areas (OR=0.57, 95%CI: 0.36, 0.92) were less likely to choose hospitals at county level or above while the higher educated were more likely to (OR=3.29, 95% CI: 1.35, 8.02). Those who coughed for more than 2 weeks were more likely to choose hospitals at or above the county level. But the number of accompanying symptoms does not show any significant relationship with the choice of medical facility.Conclusion: The present study found that age, gender, living areas and features of cough were associated with health seeking behavior. It is worth noting that coughing too long(e.g. >8 weeks) instead of seeking medical treatment. Targeted measures should be developed based on the key factors found in this study to guide persons to seek medical treatment more scientifically.

scholarly journals Coronary artery disease patients experience of patient education, follow up and self care support in rural areas of Iceland

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
T Johannsdottir ◽  
MH Svavarsdottir ◽  
B Ingadottir
Keyword(s):  
Health Care ◽  
Patient Education ◽  
Health Professionals ◽  
Rural Areas ◽  
Self Care ◽  
Local Area ◽  
Lifestyle Changes ◽  
Public Institution ◽  
Local Health ◽  
Care Support

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Icelandic regional development institute, The Icelandic Nurse´s Association, RHA-University of Akureyri, HSA, The Health Directorate of East-Iceland. OnBehalf KRANS People living in rural Iceland have higher rate of cardiovascular risk factors, healthcare utilization and death and worse self-reported health than people in urban areas. The aim of this qualitative study was to explore the experience of people with coronary heart disease, living in rural Iceland, of patient education, surveillance, and self-care support. The participants (N = 14, age 52-79 years, 8 male, 6 female) were interviewed 6-12 months after hospital discharge following a cardiac event (in 2018-2019). Systematic text-condensation was used for analysis. The findings were categorized into three main themes: 1) Education and support describes inadequate patient education and support from health professionals after discharge from hospital and how the internet was the main information source supplemented with spouse’s and family support. 2) Local health care services describe the lack of and importance of access to health professionals, stable services and underutilization of primary health care in the local area. 3) Self-care behavior describes the lack of professional support with lifestyle changes and how the participants manage self-care in their local area as well as their attitude towards the disease. In conclusion, the results indicate that access to continuous health services and person-centered support focusing on prevention strategies is widely impaired in rural areas in Iceland.

scholarly journals Introducing Medical Humanities to Health Professional Education in Bhutan: A discussion on challenges and possible solutions

2020 ◽  
Vol 6 (2) ◽  
pp. 35-38
Author(s):  
Karma Tenzin ◽  
Saroj Jayasinghe
Keyword(s):  
Health Professional ◽  
Professional Education ◽  
Health Professionals ◽  
Medical Humanities ◽  
Health Needs ◽  
Health Professional Education ◽  
Medical Practices ◽  
The World ◽  
Current Context ◽  
Available Information

Healthcare around the world is facing a series of challenges. Though there is publicity given to the technical dimensions, there is an urgent need to make healthcare more humane. This has become more essential given the volumes of information available in current context. The available information has resulted in patient knowing more than the health professionals about their own health needs. The concept of medical humanities is new and gaining awareness. This could be solution to ailing medical practices not just in Bhutan but also globally. This is reflected in many of the policies where medical humanities is gaining attention.

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