Cross-sectional Mixed Methods Study Research Articles

The Health Literacy of First Year Physiotherapy and Speech Pathology Students and Their Perceived Future Roles in Supporting Their Clients' Health Literacy.

Allied health professionals are well positioned to assess and support their clients' health literacy (HL); however, they report being deficient in HL knowledge and skills. To explore allied health students' HL and their perceptions of their roles in supporting clients' HL. A mixed-methods cross-sectional study was undertaken in August 2022 amongst allied health students enrolled in graduate-entry masters programs at the University of Tasmania. Data collected included the Health Literacy Questionnaire (HLQ) (n = 30) and qualitative telephone interviews (n = 6). Allied health students' confidence in the knowledge domain of the HLQ was rated as 28.57 from a maximum possible score of 50. Similarly, the students' confidence in the skills domain of the HLQ was rated as 14.87 from a maximum possible score of 25. Four themes were generated from the qualitative interviews: (1) valuing HL, (2) an innate part of their future roles, (3) contributors to their own HL, and (4) advocacy and their decision to study allied health. This study provides a preliminary insight into the HL of allied health students and highlights the strong perception held by allied health students that supporting clients' HL is a large component of their future roles.

Hemşirelik Öğrencilerinin Eleştirel Düşünme Eğilimlerinin ve Algılarının Belirli Faktörlere Göre Analizi: Kesitsel Bir Karma Yöntem Çalışması

Objective: This cross-sectional mixed-methods study aims to analyze the nursing students' CT dispositions and perceptions considering certain factors. Method: 358 nursing students participated. The quantitative data were collected using a "Personal Information Form" and the "Critical Thinking Disposition Scale (CDTS)". The qualitative data were collected through a 4-question open-ended questionnaire. Results: The mean scores of the sub-dimensions of CDTS were found to be 37.95±7.02, 42.44±7.53, 54.15±8.76, 22.72±4.17, 12.12±2.23. There was statistically significant differences between income level, choosing department willingly, liking the department and the sub-dimensions of CDTS. Nursing students stated that they usually gained CT skills in their family/during their education, they thought that CT was a significant skill in diagnosing patients, and nursing should be professionalized to improve CT skills. In the study, the nursing students' mean scores of CDTS sub-dimensions were found to be at medium and high levels. Conclusion: Qualitative data were found to be compatible with quantitative data. Critical thinking should be enhanced in nursing students.

The COVID-19 Pandemic’s Impact on UK Older People’s Social Workers: A Mixed-Methods Study

Abstract The social work profession was heavily impacted by the COVID-19 pandemic. In this study, we examined the well-being, working conditions and intentions to leave the social work profession among a sample of UK older people’s social workers. This was a cross-sectional mixed methods study analysing data from 426 social workers who worked in older people’s services in the UK at five time points of the pandemic spanning 2020–2022. Data were collected using anonymous online surveys which included both quantitative and qualitative questions. The mental well-being of participants decreased as the pandemic progressed and this decline was associated with intentions to leave the profession. Thematic analysis of qualitative data revealed two major themes: Practice challenges and Staff well-being. The findings highlight the nature of stressors related to internal related practice demands, and external health and social care service stressors encountered during the COVID-19 pandemic and have implications for policy, practice and research in older people’s social work.

Family communication and results disclosure after germline sequencing: A mixed methods study

ObjectiveResearch on family communication of germline genome sequencing (GS) results (versus of genetic results after targeted genetic testing) is still emerging, yet potentially complex results increase the importance of communicating risk to relatives. Promoting equity by ensuring patients have sufficient health literacy to interpret results is important in this context. This study aimed to identify cancer patients’ perceived importance of result disclosure, predictors of perceptions, and perspectives on family communication. MethodsThis explanatory-sequential, cross-sectional mixed-methods study involved participants (n = 246) completing a questionnaire and (n = 20) a semi-structured interview. Ordinal logistic regressions determined associations between potential predictors and perceived importance of result disclosure. Interview transcripts were analysed thematically using a constant-comparative approach. ResultsMore participants intended disclosing to nuclear (77.4%) than to extended family (42.7%). More than half (59.3%) felt results were family information; 62.7% believed it was important to disclose results to family members. Nuclear and extended family communication scores and education level were significantly positively associated with perceived importance of disclosure (p < 0.05). Six qualitative themes were identified: i) Responsibility to inform, ii) Choice, iii) Autonomy, iv) Family Communication, v) Significance of results, and vi) Health professional role. ConclusionLow health literacy and family conflict can complicate communication of GS results. Patients seek clear, interpretable information in a format they can easily communicate. Practice implicationsHealthcare professionals can facilitate discussion of GS results by offering written information, encouraging disclosure, exploring existing family dynamics and communication patterns, and offering strategies to improve family communication. Centralised genetic communication offices and chatbots can also be helpful

Previous negative experiences of healthcare reported by Swedish pregnant women with fear of birth - A mixed method study

BackgroundNegative encounters in healthcare might affect women’s health. During their reproductive life span, women are exposed to various health examinations, and have reported disrespectful care and obstetric violence. Such experiences might be a basis for fear of birth. Aimto explore and describe the prevalence, associated factors and experiences of previous negative healthcare encounters in women with fear of birth. MethodsA cross-sectional mixed-method study of 335 pregnant women with fear of birth. Data were collected by a questionnaire in mid-pregnancy, which included socio-demographic and obstetric background data as well as a question about the occurrence of previous negative experiences in healthcare. ResultA previous negative experience of healthcare was found in 189 women (56.6%). The analysis of the women’s comments regarding what caused their negative experiences generated three themes: disrespectful treatment and no one listened; painful, inadequate, or improper care; and impact of other people’s stories. ConclusionThis study showed that previous negative experiences in healthcare were common in women with fear of birth and the content of the encounters could be summarised as disrespectful care and obstetric violence. Women’s previous encounters in healthcare might be an underlying reason for fear of birth and should be investigated. It is, therefore, of utmost importance to listen to women and their narratives in order to establish a trustful relationship and promote evidence-based, women-centred, respectful care, which is urgently needed.

Urban-Rural Differences in Care-Seeking for Childhood Febrile Illnesses Among Mothers of Under-Fives in Anambra State, Nigeria

Background: Despite inroads in treatment and prevention, childhood febrile illnesses remain global public health issues. Optimal care-seeking by mothers could influence health outcomes. Objective: To assess the differences in care-seeking patterns and practices for childhood febrile illnesses among mothers of under–fives in urban and rural areas of Anambra state, Nigeria. Methods: This was a comparative cross-sectional analytical mixed-method study. Multistage sampling technique was used to enrol 600 mothers of under-five children accessing child welfare clinics at the Primary Health Care facilities in Anambra state. Analysis of data was carried out using SPSS version 22; with alpha set at p-value ≤ 0.05.Triangulation of findings of the survey and thematic content analysis of the Focus Group Discussion was done. Results: Appropriate care was sought by 134 (44.7%) of the urban and 125 (43.2%) of the rural respondents (p = 0.458). Prompt appropriate care was sought by 122 (40.7%) of the urban and 98 (36.7%) of the rural respondents (p = 0.042). Distance to the health facility, determinant of place of care-seeking and possession of health insurance were significantly associated with appropriate and prompt care-seeking patterns among the mothers. Conclusions: Appropriate and prompt care-seeking is generally poor among the respondents in both localities. A reorientation of mothers on appropriate and prompt care-seeking practices through continuous health education and other awareness creation processes is needed.

Vaccine hesitancy among the nursing officers working in a tertiary care hospital, Puducherry – A mixed-method study

BackgroundVaccination was considered one of the vital moves in controlling the spread of highly infectious COVID-19 pandemic. But, the initial acceptance level was highly improbable among nursing professionals (57%) in India.1 Thus, it was necessary to explore the reasons behind this reluctance, as they can act as trusted advisors for general population in decision-making. ObjectivesThis study aimed to determine the proportion of nursing officers with COVID- 19 vaccine hesitancy during the phase one drive (15th January to 28th February 2021) of vaccination and the various factors contributing to it. MethodsA cross-sectional analytical mixed-method study was done among 422 nursing officers working in a tertiary care hospital, Puducherry. Data was collected using a pretested semi-structured questionnaire along with WHO -SAGE Vaccine Hesitancy Scale for the quantitative component and an interview guide for qualitative part. ResultsMore than half of the participants were found to be COVID- 19 vaccine hesitant based on the operational definition, with fear of side effects being the most reported reason. Factors like work experience of five years or less, previous history of COVID- 19 infection, and delayed receipt of the first dose of the vaccine were significantly associated with vaccine hesitancy. ConclusionImproper flow of evidence-based information was identified as one of the major concerns related to vaccine acceptance. Measures should be taken for proper awareness generation through dependable channels and at the same time for the prevention of spread of infodemics pertaining to the new interventions for better penetration and utilization.

Comparison of anti-hypertensive medication compliance between the tea tribe community and the non-tea tribe community seeking treatment from mobile medical units of Assam

BackgroundHypertension is the priority non-communicable disease, whose prevalence ranges from 10% to 55% and an estimated pooled prevalence of 16.1% within the tribal communities of India. Poor compliance to medication is a barrier to control hypertension levels and is an emerging public health challenge. Available evidence suggests varying prevalence of medication non-compliance in different parts of the country. To address the access challenge, National Health Mission supported Mobile Medical Units (MMUs) as one of its key strategies to deliver health services to the remote population. But the role of MMUs in medication compliance is underexplored. Paucity of medication compliance evidence is noted from the North-East states of India. ObjectivesTo assess medication compliance to oral medications among hypertensive Tea-tribe (TT) and Non-Tea-tribe (NTT) patients of the MMUs; Understand the ecological factors that may influence medication compliance. MethodsA comparative cross-sectional mixed-method study was conducted among the TT and NTT of Assam. A sample size of 196 was derived for the quantitative data and a random number of 6 per district was selected for qualitative data. Multi-stage Simple Random Sampling and Purposive sampling were used to recruit participants. ResultsAround 2(2%) of TT and 6(6.1%) of NTT reported moderate level of medication compliance. Medication compliance reported unequal distribution in the categories of education with minimum effect size. The qualitative findings reported patient and provider factors influencing medication compliance significantly. ConclusionEnsuring uninterrupted access to medication, patient and provider factors which affect medication compliance should be identified and addressed.

Advance Care Planning and Parent-Reported End-of-Life Outcomes in the Neonatal Intensive Care Unit.

This study aimed to evaluate the impact of advance care planning (ACP) on parent-reported end-of-life (EOL) outcomes in the neonatal intensive care unit (NICU). Single-center, cross-sectional mixed-methods survey study of bereaved parents who experienced the death of a child in the Boston Children's Hospital NICU between 2010 and 2021. Logistic regression, chi-square test, Fisher's exact test, and Wilcoxon rank-sum test were used to evaluate the relationship between ACP and parent-reported EOL outcomes. Qualitative content was analyzed through inductive coding. A total of 40/146 (27%) of eligible parents responded to our survey. There was a significant association between ACP and improved EOL care processes and parental satisfaction with communication. Parents with ACP were more likely to report goal-concordant care and higher levels of perceived shared decision-making. Qualitatively, emerging themes in parents' descriptions of goal-concordant care included misaligned expectations and communication. Emerging themes for parental preparedness included infant symptoms, logistical aspects, impact on parents, and degrees of preparedness. For decisional regret, the primary theme was reevaluating supports. ACP is associated with improved EOL care outcomes and parents qualitatively conceptualize goal-concordant care, preparedness for their child's death, and decisional regret in nuanced ways. Families should have the opportunity to participate in ACP discussions that meet their unique communication and decision-making needs. · ACP is associated with improved parent-reported end-of-life outcomes.. · Parents conceptualize end-of-life care outcomes in nuanced ways.. · Families should have the opportunity to participate in ACP discussions that meet their unique needs..

Client’s Satisfaction with Child Health Care Delivery in Tamale Teaching Hospital

Background: Studies conducted in public hospitals in Ghana have provided empirical evidence of an inadequate level of quality of health care services, both in terms of objective measures of client opinions and those of health care providers.&#x0D; Aim: The purpose of this study was to assess client satisfaction with the quality of healthcare delivery at the Child Health Department of the Tamale Teaching Hospital (TTH).&#x0D; Methods: A mixed-methods cross-sectional study design using purposeful and convenience sampling techniques were used to obtain 385 parents or caregivers and 6 health professionals at the Tamale Teaching Hospital (TTH) from July, 2021 to April, 2022. Structured questionnaires were used to collect quantitative data, and a semi-structured interview guide was used to collect qualitative data.&#x0D; Results: Most (90.9%) of the respondents are of the view that their children’s health needs were catered for in the facility while only 0.2% of respondents strongly disagreed that their child’s health needs were catered for in the facility. The study indicates that the 1st most ranked important satisfactory factor to the client’s healthcare service quality is tangibility with an RII of 1.20 and the least ranked was priority and responsiveness of RII of 0.40 respectively.&#x0D; Conclusions: Child healthcare service patronage in TTH is generally high. Although the needs of the people are met, we recommend that the management of the hospital should prioritize medical and surgical conditions in the hospital by providing equipment and logistics.

Infrastructure and Software Skills in the Expanded Program on Immunization at Commune Health Centers in Central Vietnam: A Cross-Sectional Mixed-Methods Study.

The application of the National Immunization Information System at primary health facilities is crucial in improving the quality of medical examinations as well as collecting and reporting immunization information. This study aimed to describe the infrastructure for the Expanded Program on Immunization's software at communes/wards/towns health centers (CHCs) of a province in central Vietnam and to evaluate the capacity of using immunization software of health officers. Another objective was to identify factors associated with skills in using the software of participants. A cross-sectional study combined with qualitative and quantitative methods was conducted, including 237 health officers from 50% (76/152) CHCs of Thua Thien Hue Province. Data were collected through face-to-face interviews using a developed questionnaire and observation via checklists. The results showed that most CHCs had sufficient infrastructure for the Expanded Program on Immunization (EPI). Health officers proficient in using the National Immunization Information System accounted for 74.7%. The CHCs should be equipped with more devices serving the immunization information management system and regularly maintain the equipment and the internet connection. Training health officers at CHCs in the data management of the vaccination system and record tracking ability using the National Immunization Information System is needed.

Virtual simulated international placements as an innovation for internationalisation in undergraduate programs: a mixed methods study

BackgroundInherent features in virtual simulation could be utilised to deliver collaborative global education that is inclusive, accessible, and valued by students and facilitators. The aim of this study was to evaluate the impact of the International Eyecare Community (IEC) platform’s virtual simulated international placements (VSIP) in optometric education.MethodsAn international, multi-center, cross-sectional mixed methods study with Deakin University, Australia, and the Elite School of Optometry, India, was used to evaluate the impact of VSIP in the IEC using pre-existing deidentified data collected from teaching and learning activities within the optometry course curriculum. Data on students and facilitators perceptions of the VSIP were collected through deidentified transcripts from focus group discussions. The data were interpreted using descriptive statistics and qualitative analysis using constant comparison for thematic analysis.ResultsA total of 64 out of 167 student participants completed survey responses (39%) and 46 out of 167 (28%) completed self-reflective inventories. Focus groups with 6 student participants and 6 facilitator participants were recorded and analysed. Student participants reported the IEC was relevant (98% agreement) and motivated them to apply theoretical knowledge to a clinical context (97% agreement). The themes identified through qualitative analysis were: factors inherent to the virtual simulation that enabled learning through VSIP, the VSIP supported cognitive apprenticeship, VSIP enabled clinical learning for optometric education, VSIP’ role in cross-cultural professional identity development in optometry students.ConclusionThe study found that the VSIP platform helped to motivate students to learn and improve their clinical skills. The VSIP was considered a potential supplement to physical clinical placements and could revolutionize global optometric education by offering co-learning across cultures.

Interest in Digital Peer-Delivered Interventions and Preferences to Improve Pain Self-efficacy and Reduce Loneliness Among Patients With Chronic Pain: Mixed Methods Co-design Study.

Two important factors that prolong and exacerbate chronic noncancer pain (CNCP) and disability are low pain self-efficacy and loneliness. Yet, few interventions have shown long-term sustained improvements in pain self-efficacy, and there are no evidence-based treatments that target social connectedness in people living with CNCP. More effective and accessible interventions designed to target self-efficacy and social connectedness could ease the burden of CNCP. To co-design accessible interventions to increase pain self-efficacy, social connection, pain-related outcomes, and quality of life, this study explored patients' interest and preferences for digital peer-delivered interventions for CNCP as well as implementation barriers and enablers. This cross-sectional mixed methods study was part of a larger longitudinal cohort study. Adult Australian residents (N=186) with CNCP diagnosed by a medical professional or pain specialist were included. Participants were initially recruited through advertising on professional pain social media accounts and websites. Questions examined whether patients were interested in digital peer-delivered interventions and their preferences for specific features (eg, Newsfeed). Pain self-efficacy and loneliness were assessed using validated questionnaires, and the association between these factors and interest in digital peer-delivered support was explored. Open-ended questions explored implementation barriers, enablers, and suggestions for consideration in intervention design. There was interest in accessing digital peer-delivered interventions, with almost half of the sample indicating that they would access it if it was available. Those who indicated an interest in digital peer interventions reported both lower pain self-efficacy and greater loneliness than those who were not interested. Intervention content that incorporated education, links to health services and resources, and delivery of support by peer coaches were the most frequently preferred intervention features. Three potential benefits were identified: shared experience, social connection, and shared pain management solutions. Five potential barriers were identified: negative focus on pain, judgment, lack of engagement, negative impact on mental health, privacy and security concerns, and unmet personal preferences. Finally, there were 8 suggestions from participants: moderation of the group, interest subgroups, professional-led activities, psychological strategies, links to professional pain resources, newsletter, motivational content, live streaming, and online meetups. Digital peer-delivered interventions were of particular interest to those with CNCP who had lower levels of pain self-efficacy and higher levels of loneliness. Future co-design work could tailor digital peer-delivered interventions to these unmet needs. Intervention preferences and implementation barriers and enablers identified in this study could guide further co-design and the development of such interventions.

Gender similarities and differences in the perception of caring among nurses during the COVID-19 pandemic: a mixed-methods study

BackgroundCaring is the essence and core of nursing. Current studies on the effect of gender on nurses’ perception of caring have been inconsistent. Most of these studies were quantitative and conducted before the COVID-19 pandemic. The study aimed to explore the gender similarities and differences in nurses’ perception of caring during the COVID-19 pandemic.MethodsIn 2020, a cross-sectional mixed-method study was conducted in 11 cities in China using structured online questionnaire (n = 8030) and face-to-face individual interview (n = 42). Data collection tools included the Caring Dimensions Inventory and semi-structured interview.ResultsIn stepwise multivariable linear regression analysis, female nurses scored 1.93 points higher on caring than male nurses, after completely controlling for the other factors. The interview results showed that both male and female nurses agreed that caring was to deal with three kinds of relationships, namely nurses and people, nurses and themselves, nurses and society. There were gender differences in the connotation of caring between nurses and themselves, but not in the connotations of caring between other relationships. The ranking of the importance of caring connotations among these relationships showed no gender difference except between nurses and themselves.ConclusionThe quantitative findings suggest that gender influences nurses’ perception of caring. The qualitative findings demonstrate that nurses regard themselves as both recipients and implementers of caring. The qualitative results indicate nurses of different genders have similarities and differences in their perception of caring, and the biggest difference lies in the relationship between nurses and themselves.

Patient reported experience measures on HIV viral load testing at public health facilities in Dar es Salaam, Tanzania: A convergent mixed method study.

While viral load (VL) testing is critical to effective treatment of human immunodeficiency virus (HIV), little is known about patients' experiences with, and barriers to VL-testing in the context of HIV infection. We assessed patient reported experience measures (PREMs) on VL-testing in public HIV clinics in Tanzania. In a cross-sectional convergent mixed method study, we collected information on VL test related PREMs, clinical and sociodemographic factors. PREMs were measured using a 5-point Likert scale. Focus Group Discussions (FGDs) explored on experience, access, and barriers to VL-testing. Descriptive statistics summarized patients' factors and PREMs. Logistic regression was used to explore association of patient factors, PREMs and satisfaction with VL-testing services. Thematic analysis was used for qualitative data. A total of 439 (96.48%) respondents completed the survey, 331 (75.40%) were female, median (IQR) age was 41(34, 49) years. A total of 253(57.63%) had a VL test at least once in the past 12 months, of whom 242(96.0%) had VL<1000 copies/ml. Investigating barriers to VL-testing, most participants (>92.0%) reported good or very good health services responsiveness (HSR). A scale of very good was chosen by the majority for being treated with respect 174(39.6%), listened to 173(39.4%), following advice 109(24.8%), being involved in decisions 101(23.0%), and for communication 102(23.3%). Satisfaction on VL-testing services was significantly associated with respondents following care providers' advice, (aOR) = 2.07 [95%CI 1.13-3.78], involvement in decisions aOR = 4.16 [95%CI 2.26-7.66], and communication aOR = 2.27 [95%CI 1.25-4.14]. FGDs findings converged with the survey data, with identified barriers to VL test including lack of autonomy in decision making, little awareness on the benefits of the test, long waiting time, stigma, competing priorities for those with comorbidities and transport costs. Satisfaction on VL-testing was largely a result of involvement in decision making, following care provider's advice and good communication; entities needing universal improvement across the country.

Mental health challenges, treatment experiences, and care needs of post-secondary students: a cross-sectional mixed-methods study

BackgroundPost-secondary students frequently experience high rates of mental health challenges. However, they present meagre rates of treatment-seeking behaviours. This elevated prevalence of mental health problems, particularly after the COVID-19 pandemic, can lead to distress, poor academic performance, and lower job prospects following the completion of education. To address the needs of this population, it is important to understand students' perceptions of mental health and the barriers preventing or limiting their access to care.MethodsA broad-scoping online survey was publicly distributed to post-secondary students, collecting demographic, sociocultural, economic, and educational information while assessing various components of mental health.ResultsIn total, 448 students across post-secondary institutions in Ontario, Canada, responded to the survey. Over a third (n = 170; 38.6%) of respondents reported a formal mental health diagnosis. Depression and generalized anxiety disorder were the most commonly reported diagnoses. Most respondents felt that post-secondary students did not have good mental health (n = 253; 60.5%) and had inadequate coping strategies (n = 261; 62.4%). The most frequently reported barriers to care were financial (n = 214; 50.5%), long wait times (n = 202; 47.6%), insufficient resources (n = 165; 38.9%), time constraints (n = 148; 34.9%), stigma (n = 133; 31.4%), cultural barriers (n = 108; 25.5%), and past negative experiences with mental health care (n = 86; 20.3%). The majority of students felt their post-secondary institution needed to increase awareness (n = 231; 56.5%) and mental health resources (n = 306; 73.2%). Most viewed in-person therapy and online care with a therapist as more helpful than self-guided online care. However, there was uncertainty about the helpfulness and accessibility of different forms of treatment, including online interventions. The qualitative findings highlighted the need for personal strategies, mental health education and awareness, and institutional support and services.ConclusionsVarious barriers to care, perceived lack of resources, and low knowledge of available interventions may contribute to compromised mental health in post-secondary students. The survey findings indicate that upstream approaches such as integrating mental health education for students may address the varying needs of this critical population. Therapist-involved online mental health interventions may be a promising solution to address accessibility issues.

Interprofessional collaboration among nurses and physicians in Lebanon

This cross-sectional mixed-methods study includes description of nurse-physician collaboration in Lebanon and comparison of perceptions of collaborative practice experiences of nurses and physicians. Online surveys were completed by 223 Registered Nurses (RNs) and 60 Physicians (MDs) currently practicing in in-hospital settings in Lebanon. The Nurse-Physician Collaboration scale, demographic and background items, and four open-ended questions were included in the survey. Descriptive and comparative statistical analyses, correlations, and categorical analyses were conducted. RNs reported significantly less frequency of collaboration than MDs (t = 2.62, p = 0.009). Females reported significantly less collaboration frequency than males (t = −3.44, p = 0.001). Stratifying by gender, male MDs reported the highest collaboration compared with male RNs (t = 2.25; p = 0.027). RNs with graduate degrees reported the least collaboration compared to holders of Bachelor's degrees and technical diplomas (F = 4.00, p = 0.02). Across both professions, motivation was the most frequently perceived and highest ranked facilitator for collaboration, and time pressure was the most frequently perceived and top ranked barrier. Of those who responded to an open-ended question, the majority of respondents (58.5%) shared a positive recent experience of nurse-physician collaboration, and 85% of responses to another question identified achievement of best quality patient outcomes as a perceived benefit of nurse-physician collaboration. Strategies that enhance the identified facilitators, overcome barriers, and equip nurses and physicians to collaborate should be implemented within hospitals in Lebanon.

Boosting morale among NHS staff: what can managers do?

British Journal of Healthcare ManagementVol. 29, No. 4 EditorialBoosting morale among NHS staff: what can managers do?Robert ConwayRobert ConwayCorrespondence to: Robert Conway; E-mail Address: [email protected]Frimley Health NHS Foundation Trust, Surrey, UKSearch for more papers by this authorRobert ConwayPublished Online:10 Apr 2023https://doi.org/10.12968/bjhc.2023.0032AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References BBC. Junior doctor strike led to 175,000 cancellations. 2023. https://www.bbc.co.uk/news/health-64995025 (accessed 23 March 2023) Google ScholarBradler C, Dur R, Neckermann S et al.. Employee recognition and performance: a field experiment. Manage Sci. 2016;62(11):iv–vi. https://doi.org/10.1287/mnsc.2015.2291 Google ScholarChaudhury H, Mahmood A, Valente M. The effect of environmental design on reducing nursing errors and increasing efficiency in acute care settings: a review and analysis of the literature. Environment and Behavior. 2009;41(6):755–786. https://doi.org/10.1177/0013916508330392 Crossref, Google ScholarElmblad R, Kodjebacheva, Lebeck L. Workplace incivility affecting CRNAs: a study of prevalence, severity, and consequences with proposed interventions. J Am Asoc Nurs Anesth. 2014;82(6):437–445 Google ScholarGarcia CL, Abreu LC, Ramos JLS et al.. Influence of burnout on patient safety: systematic review and meta-analysis. Medicina (Kaunas). 2019;55(9):553. https://doi.org/10.3390/medicina55090553 Crossref, Google ScholarGemine R, Davies GR, Tarrant S et al.. Factors associated with work-related burnout in NHS staff during COVID-19: a cross-sectional mixed methods study. BMJ Open. 2021;11:e042591. https://doi.org/10.1136/bmjopen-2020-042591 Crossref, Google ScholarGraber JE, Huang ES, Drum ML et al.. Predicting changes in staff morale and burnout at community health centers participating in the health disparities collaboratives. Health Serv Res. 2008;43(4):1403–1423. https://doi.org/10.1111/j.1475-6773.2007.00828.x Crossref, Google ScholarHall LH, Johnson J, Watt I et al.. Healthcare staff wellbeing, burnout and patient safety: a systematic review. PLoS One. 2016 Jul 8;11(7):e0159015. https://doi.org/10.1371/journal.pone.0159015 Crossref, Google ScholarKatz D, Blasius K, Isaak R et al.. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;28:750–757 Crossref, Google ScholarNHS Staff Survey. NHS Staff Survey national results. 2022. https://www.nhsstaffsurveys.com/results/national-results/ (accessed 23 March 2023) Google ScholarRothenberger DA. Physician burnout and well-being: a systematic review and framework for action. Dis Colon Rectum. 2017;60(6):567–576. https://doi.org/10.1097/DCR.0000000000000844 Crossref, Google ScholarSmith JG, Morin KH, Lake ET. Association of the nurse work environment with nurse incivility in hospitals. J Nurs Manag. 2018;26(2):219–226. https://doi.org/10.1111/jonm.12537 Crossref, Google ScholarStefancyk AL. One-hour, off-unit meal breaks. Am J Nurs. 2009;109(1):64–66. https://doi.org/10.1097/01.NAJ.0000344043.57392.ce Crossref, Google ScholarTeng C-I, Shyu Y-IL, Chiou W-K et al.. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int J Nurs Stud. 2010;47(11)1442–1450. https://doi.org/10.1016/j.ijnurstu.2010.04.005 Crossref, Google Scholar FiguresReferencesRelatedDetails 2 April 2023Volume 29Issue 4ISSN (print): 1358-0574ISSN (online): 1759-7382 Metrics History Published online 10 April 2023 Published in print 2 April 2023 Information© MA Healthcare LimitedPDF download

A CROSS-SECTIONAL STUDY TO ASSESS THE PERSPECTIVE OF ALLOPATHIC PRIVATE PROVIDERS FOR THEIR ENGAGEMENT IN TUBERCULOSIS CASE NOTIFICATION UNDER RNTCP

Background: In India 80% of patient first seek private health sector for treatment. This necessitates their engagement in TB eradication programme. Private providers engagement remains a challenging area from decades. Appropriate activities are needed to engage large and unorganized private sector to achieve different milestone in TB case notification and identification. Objective: Study to assess the perspective of allopathic private providers for their engagement in tuberculosis case notification under RNTCP. Methods: Cross-sectional mixed method study among allopathic private providers in Palwal District of Haryana. Conveniently 187 allopathic private providers were approached to assess those factors which can increase their involvement in TB case notification. Private providers were interviewed to check their perspective on mandatory TB case notification Results: This study found that providers are well aware about the RNTCP programme. Overall 59 percent of practitioners favoured the incentives and p-value of 0.014 shows incentive is one factors which can increase their involvement in the programme. Continuing Medical Education (55%) and Notification through hard copy (57%) are preferred ways for engagement. Lack of notification knowledge and complicate process are challenging issues for notification. It was observed stigma, government support and coordination, jurisdiction, and inadequate trainings are remained as barrier from years. Conclusion: There is need to address these issues on priority. Capacity building and educational programmes are required to strengthen the private providers. Simplified notification process and addition of incentives can increase involvement from the private sector. Government support and coordination to private sector are required for achieving the aim of TB Free Ind

An Exploratory Mixed Method Cross-Sectional Study to Identify Opportunities to Increase Enrollment and Retention of Native Hawaiian Students in an Undergraduate Dietetic Program.

Native Hawaiians (NH) are underrepresented in dietetics, contributing to less than 1% of the profession nationally. Increasing the number of NH Registered Dietitian Nutritionists (RDN) is one mechanism to facilitate improved health outcomes in disparate populations. 1) Identify and summarize NH student interests in the field of nutrition and dietetics; 2) Identify and contextualize factors that support and prohibit achievement of academic goals and aspirations; 3) Identify NH students' responsibility to the community; 4) Explore the context around NH alumni enrollment in nutrition and dietetics and their perceived impact of RDNs in the community; 5) Identify and describe supporting agencies that foster academic and professional success. This exploratory mixed-methods cross-sectional study surveyed all levels of NH nutrition and dietetics students in the University of Hawai'i (UH) System. In addition, in-depth interviews were conducted with NH students, NH alumni, and supporting agencies to identify supports and barriers, explore the context of NH enrollment in nutrition and dietetics, and the contribution of dietetics to the NH community. Eighty-one NH students enrolled in a nutrition course across the UH system were surveyed. Nine of the 81 NH students surveyed, eight NH alumni, and persons from 15 identified supporting agencies were interviewed. Survey responses were descriptively analyzed. Open-ended survey questions and interviews were analyzed through content analysis. To ensure findings were guided by NH perspective, data were triangulated by researchers and a NH dietetics advisory council. Food and chronic disease prevention and management were topics that drew NH students to the field. Bridge/scholarship programs supported NH academic achievement. Education-related cost was a perceived barrier. Alumni and students shared varying degrees of responsibility to serve the NH community. Increasing the connection between NH values and the nutrition and dietetics curriculum are an identified need. Findings illuminate opportunities to drive future programmatic efforts. The framework used in this study should be adaptable to other programs to support overall dietetics diversity initiatives.